Methodist Medical Center Foundation: Dr. Francis (Randy) Reid

Contents
DR. FRANCIS (RANDY) REID 2
ROBERT RICKS 17
CANDE SEAY 27
METHODIST MEDICAL CENTER ORAL HISTORY:
DR. FRANCIS (RANDY) REID
Interviewed by Patricia Clark
January 28, 2009
MRS. CLARK: Pat Clark interviewing Dr. Francis also know as Randy Reid an ophthalmologist and first thing I want to know Dr. Reid is some back ground information about you, where you were born, even the year if you are willing to say….
DR. REID: Oh sure.
MRS. CLARK: And …
DR. REID: I was born in Memphis, Tennessee in 1950.
MRS. CLARK: Ok and you were educated?
DR. REID: I did undergraduate work at University of Tennessee, Knoxville. I did my medical school at University of Tennessee, Memphis, and then stayed there for my internship and ophthalmology residency.
MRS. CLARK: So you have been strictly a Tennessean.
DR. REID: Strictly a Tennessean, I finished my residency in 1979 and came to Oak Ridge right from there, straight from residency. I have been practicing here since 1979, this is my 30th year.
MRS. CLARK: Oh my congratulations. And you are married?
DR. REID: Yes, wife Karen and we have three children who are now grown off the pay roll.
MRS. CLARK: Ok, anything else about your personal life before we move on.
DR. REID: If it is pertinent, we’ll see.
MRS. CLARK: Oh right. OK and your specialty is ophthalmology, I don’t know if that can be divided down into other fields or………..
DR. REID: Well I do general ophthalmology.
MRS. CLARK: And you are in a group I believe.
DR. REID: I am in the Eye Center, we have twelve doctors in the Eye Center now. Six ophthalmologists and six optometrists.
MRS. CLARK: Oh, you let the optometrists in.
DR. REID: Yes, we have six locations and our main location is here in Oak Ridge.
MRS. CLARK: And where else are you?
DR. REID: Cookeville, Harriman, Rockwood, Lenior City, and Wartburg.
MRS. CLARK: Oh my, you need a large staff to cover that. And you came to Oak Ridge in 1979, how did you find the community when you came at that time?
DR. REID: You mean in terms of who recruited us to town?
MRS. CLARK: That would be interesting.
DR. REID: Ok, I was recruited by Nick Kaebnick and Lee Smalley, two ophthalmologists who have served as Chief of Staff of the medical center here, back many years ago. But they recruited me to come and join them. At the time we had, the ophthalmologists were all in solo practice, so they were inviting me to be a competitor.
MRS. CLARK: Oh my, so when did you join forces?
DR. REID: Well we joined forces in 1995.
MRS. CLARK: That recently.
DR. REID: So we practiced as collegial competitors for many years and then in 1995 we formed the Eye Center.
MRS. CLARK: So 1995. You do your own surgery there.
DR. REID: At the Eye Center.
MRS. CLARK: Before you had the Eye Center you would have used the hospital?
DR. REID: We used the hospital for everything.
MRS. CLARK: All right, then let’s look at some of your relationships at the hospital.
DR. REID: Sure.
MRS. CLARK: Your colleagues your… your recollection of the people of the medical staff here.
DR. REID: Oak Ridge is unique in many ways…but having one hospital makes us unique, it is like having one high school, the way the community senses rapport at the high school. It makes for a very pleasant working relationship for physicians because they have one hospital to support, their allegiances go there, their best efforts to make the hospital successful in their practice there. The interest of the hospital and the private practitioner are more aligned when you have one hospital as compared to other communities where you might have multiple hospitals and you might have physicians playing one hospital against another. It is not so much an issue here, that is a little more now because some physicians play Knoxville hospitals against Oak Ridge but for the bulk of my career it has been supportive of the medical center, even though we do our surgery down the street we are still on the active staff and provide emergency call to our emergency surgeries here, certain elective surgeries here, consultation services, so we are still active on the medical staff.
MRS. CLARK: Now I understand, I did not talk with Dr. Stanley myself but I understand he recommended you, that you had some interesting stories to tell.
DR. REID: Well, I served as Chief of Staff in the early 1990’s and I have been involved in the medical staff leadership activities here for many years and that has given me an interesting insight to the governance of the medical center and its transition over the years and when I think back across my thirty years here, there have been some remarkable events that have come strictly because of the management and governance we have been blessed with at Methodist. I’ll just mention three that to me stand out as significant events in our history. The first one is back in the early 1980’s and I guess in the way of background in 1983, the Federal Government changed the way hospitals were paid. They instituted a program called DRG’s for Diagnosis Related Group’s and starting in 1983, hospitals were paid based on what the diagnosis was. Prior to that they were paid based on what they did and so there was no…. the incentives were not there to conserve on the expense. It was more of a cost-plus type of payment before 1983. Well if you think about that when the government instituted DRG payment system a lot of hospitals suddenly lost their… a good portion of their revenue and income. Now a lot of hospitals were in trouble and so if you can look back to 1983 around then smaller hospitals were teetering on the brink of solvency and hospitals were in the mode of shrinking their services to try to stay open and stay… continue to serve communities but hospitals were being closed and some were being sold. It was a very difficult time for hospitals and that was the environment that Methodist was in too. It was looking at a great drop in its income and as a hospital it has to have profit in order to build facilities and show profits. Our management and leadership at the time was Marshall Whisnant and Ralph Lillard, our president and executive vice president, with the board rather than shrink at the time that all of the hospitals were shrinking, when the reimbursement was cut with the DRG’s, they decided to grow the hospital and they embarked to turn the hospital from facing Tennessee Avenue to the Turnpike and they built Physicians Plaza, the large medical office building between the hospital and the Turnpike. It certainly was a major facelift for the hospital, the medical office building around the hospital to bring more specialties, they recruited more specialties to build the medical office building and added new services and rather than shrink under the declining reimbursement they decided to grow. McRay Sharp was one of the people, he worked for Methodist Medical Management which helped manage physician practices but he also gave advice to the board and interpreted our data as it relates to our core services and what percent of the market we had here and customer satisfaction. McRay always taught us that capacity equals share and if we wanted to do more work, we needed good doctors and more doctors and the hospital invested in that and at a time when other hospitals shrank and never really came back, Methodist flourished. That was in the early 1980’s and that was a remarkable event and really set up to enjoy the next landmark for me which was the Tennessee Quality Improvement Award. I don’t know what year, do you?
MRS. CLARK: No, I don’t.
DR. REID: But the events occurred for that again strictly and I give credit to our leadership and management, Marshall Whisnant and Ralph Lillard again they spearheaded the quality effort, they got the medical staff to take days out of their practice to go to class to learn about quality monitoring and quality programs. Hospital staff bought into that, all of the quality programs went into place and the fruition of that was the Tennessee Quality Improvement Award which we were the first hospital to get that in the state. I look… quality starts at the top. I look back on our leaders that we had at the time to guide us through that, you know going forward in time. The next big event would be an event of the mid 1990’s when healthcare was going through some changes that involved large insurance contracts directing pools of paper. In the mid 1990’s the way the insurance plans work under managed care was if you were not on the insurance plan you could not see the patient so large blocks of patients were moved around in a way that it made it difficult for the hospital to book enough business if they were not party to the insurance plan. Those of us who were involved in that we viewed it more as managed payment not managed care but they called it managed care. But there was another time when it made it very difficult for independent hospitals to be successful because the blocks of patients were being moved and if you were not the player on the chessboard you could not see the patients, it didn’t matter how good your work was if you were not in line to receive patients from a given contract, those patients couldn’t come to you and being a largely one industry town we were vulnerable. The employees of Martin Marietta at the time had been contracted away from us and half of the events of just the history of insurance in the mid 1990’s, the vision and the wisdom then was to form Covenant Health. The events of the time made sense for the hospitals to join with Fort Sanders Foundation Hospitals and formed Covenant Health and that has been a very controversial thing for the hospital and for the community over the years. At the time that it happened it made sense for every reason for the financial integrity of the hospital. Since then Methodist has had its share of issues related to financing and increased cost of providing care and it had to reinvent it’s self.
MRS. CLARK: Do you think perhaps the community never really understood the problem that the hospital faced at the time that it became part of Covenant Health? I remember that as being very controversial at the time.
DR. REID: It was controversial and I think probably the community did not recognize the impact. We formed the Eye Center at the same time for all the same reasons. It was apparent that unless you joined forces with a entity that had access to the contracts you were not going to be able to see the patients.
MRS. CLARK: Is that still today pretty much the way business is conducted now?
DR. REID: No, the business cycle we’re on a completely different business cycle now. No longer do you have to be in the contract or it doesn’t move blocks of patients like it did in the 1990’s. I think the insurance companies realized that is not a strategy that is going to work. Patients didn’t like it. Essentially the insurance companies have not evolved past managed payment.
MRS. CLARK: That is fifteen years ago.
DR. REID: They still are only interested in price and really do not have good systems to look at quality.
MRS. CLARK: Can we hope for better in the future?
DR. REID: Well, I am afraid the way our insurance companies are structured, they are strictly structured on cost and profit and they don’t have….I don’t see that they do anything based on quality. All those reviews we get are based on cost.
MRS. CLARK: That is unfortunate. Well you have given me a lot of information about you and the hospital. Have you seen any changes in your cliental over the years?
DR. REID: Well, only in our practice is set up to mirror the same population that goes to Methodist. We learned a lot about the geography that makes this a good location. It only makes sense to piggy back on the hospital’s geographical advantage, that if the hospital has a market area, that needed to be our market area for our practice so that has been a very successful strategy for the years I have been in practice here. Pretty much where the hospital goes we go and patients relate to Oak Ridge and relate well to the Medical Center here.
MRS. CLARK: All because, I mean that group, I guess, geriatrics.
DR. REID: Certainly we have a lot of older adults that is part of our practice.
MRS. CLARK: Did you have any unusual surgeries or cases over the years?
DR. REID: I could…..the list would go on and on. Of course that is what you do when you operate, you see a little bit of everything. You know the Emergency Room, in the Emergency Room you see all sorts of personal catastrophes and heart break. Accidents…….
MRS. CLARK: Are you doing many surgeries now here at the hospital?
DR. REID: We do emergency surgeries from injuries and we do elective surgery that has to have general anesthesia but the rest of our surgeries we do at the Eye Center.
MRS. CLARK: Now I was going to ask some of the most unusual and unforgettable aspects of your practice?
DR. REID: Well, you know I look at it more as things that were memorable in my time when I had leisure here at the Medical Center.
MRS. CLARK: All right.
DR. REID: And I had the privilege to work on the Credentials Committee pertaining [inaudible] and the way the Medical staff is structured the Credentials Committee composition is mainly past Chiefs of Staff. So after you serve as Chief of Staff then you have the opportunity to serve on the Credentials Committee and so I had my duty to serve there for ten years and for those of us who have worked in credentialing we think that is some of the most important work from the medical staff. But there was a time in early 1990’s when there were some….difficult credentialing issues that occurred, that got a lot of press and court activity. A lot of things were written in the press that were inappropriate because the press decided to take the other side and the press thought the credential committee was too tough on physicians who were going through the peer view process. Well, not long after all of that was settling down, Gene Caldwell, Dr. Gene Caldwell, pediatrician, who was a past Chief of Staff and prominent legislator, he wrote an editorial in the newspaper. He could do this because he was not currently on the Credentials Committee, but he understood very well how the Credentials Committee is to the hospital. What he wrote is I will paraphrase him…. was “yes our hospital has a reputation for tough credentials but if you are going to be a patient in this hospital is there any other way you would what your Credentials Committee to be”.
MRS. CLARK: Good.
DR. REID: Those of us have worked on that committee over the years and understand how that everything falls to that line when you are evaluating the quality medical staff Gene hit the nail on the head. I have always appreciated the fact that he would put it in words like that.
MRS. CLARK: You have mentioned Ralph Lillard and Marshall Whisnant and Gene Caldwell are there any other people connected with the hospital that made a real impression on you. Have you used the hospital yourself?
DR. REID: I have been a patient, we have had three babies here, I have had surgery here twice and I have had excellent personal care and excellent family care. One of my kids had surgery here, this is where they would bring me if I needed something. This is my hospital.
MRS. CLARK: You have certainly shared a lot of insight with this.
DR. REID: I tell you as far as other physicians the people that I really look to are other physicians who have taken the time to serve as Chief of Staff and I am sure that I will miss some of the names but …. David Stanley, Gene Caldwell, Elliott Kaebnick and Lee Smalley, they were, they preceded me. I had the good fortunate of being partners with Elliott Kaebnick and Lee Smalley and to have a group where there were three past Chiefs of Staff, a great experience but then Jim Rouse, radiologist. Macky McMahon.
MRS. CLARK: What is the term of office?
DR. REID: Two years and some serve longer.
MRS. CLARK: I was going to say “can” you serve more than the two years? Did you?
DR. REID: I served two years as Chief as Staff. Let’s see David Compton, I think Chuck Sewell and Chuck may have served three years. Bill Hall, cardiovascular surgeon, Duncan McKellar, Duncan did a great job and Joe Metcalf. We look at the list of physicians who have taken that citizenship responsibility it’s been a credit to the …
MRS. CLARK: The community is very fortunate.
DR. REID: And it is not just Chief of Staff, it comes with a huge responsibility for the medical staff, the hospital and the community. These are all people who I have been fortunate to have known and worked with, they are all excellent doc’s and they did a very good job for our community.
MRS. CLARK: The only eye surgery I have had had been cataract and I think even since I had cataract surgery there have been advancements in the field. I had my first one in 1995 but if I understand there is a little different way now…
DR. REID: Sure [inaudible] progressive [inaudible] of cataract surgery is dramatically different now than it was in 1995. Dramatically different than it was in 2000 a couple years ago, the advances continue.
MRS. CLARK: Do you ever get to do a repeat?
DR. REID: Generally not. It is intended to be a one time thing.
MRS. CLARK: Let me see if there is anything else here to ask you, we haven’t covered.
DR. REID: Well I will tell you there when I think of people had an impact on me. I talked about the medical staff, leadership staff, but on the other side George Mathews.
MRS. CLARK: I interviewed George. A lovely man.
DR. REID: George is. He is such a great man and his integrity and his ability to understand the issues and work with physicians, trusted and came back to be president of the hospital at a time that was very difficult for the hospital. It was after the merger with Covenant and you had hard feelings in the community and on the medial staff and George did a great job managing the place and being that step of leadership for us. I have the warmest feelings for George. Jan McNally. Jan I had the pleasure of working with her when she was in the nursing side of administration before she moved on to be the hospital president and Jan brought a terrific style…her own style of management and related well with physicians. Each of the hospital presidents has had things that have occurred on their watch that they had to see through. Jan did a great job with that. Now we have Mike Bilbeck. Mike comes from a different system but that…. I look at that as a hybrid vision you know. He has seen health care the way it has been administered in two different system at least before he came to us and so he brings a prospective that is healthy for us because he has seen how other hospitals have been successful in their markets. We are really fortunate to have Mike and Janice and their family here in the community.
MRS. CLARK: He was the initiator for this project. I do not think that it occurred to anybody else that we knew the history of the hospital until he came and I am glad he did because we have already lost some giants in the medical field here are gone. But at least we can get those that are still here and get them on record. I guess, unless you can think something that you could add to our knowledge of the hospital.
DR. REID: Have I told you things that other people haven’t talked about?
MRS. CLARK: Oh, yes and in a different, prospective I think from your standpoint. As I say I had interviewed George and knew about some of the aspects of the problems when he was here. But, no, I think you have added a lot and your insight, it has been very interesting. I don’t know if there is anything else to add or any problems you might had had with the Emergency Room or ….
DR. REID: The Emergency Room for every physician it is a love/hate relationship. It is where our most difficult patients are in a difficult time emotionally for them and difficult for us because we are thrown together, they don’t want to be there, they are not happy that they are either acutely ill or injured and it is a difficult environment which to practice medicine, everywhere coast to coast. Let me mention one other thing, there are lots of thing at Methodist that are excellent. Methodist has a history of doing things well and part of that is because we are the focus of our community but there are lots of things that occurred in medical staff leadership that we did well and I learned this at the hand of Marshall, Ralph and George and I’ll tell you for the last fifteen years I’ve had the pleasure of serving on national faculty and giving leadership seminars at medical staff all across the county and basically what I do is export the lessons that I learned from Marshall and Ralph and George and Jan and Mike to these meetings. The physicians all fifty states all across the county…
MRS. CLARK: How frequent are the meetings?
DR. REID: They are five times a year and they are attended by Chiefs of Staff on hospitals in all fifty states and they come and we talk about Medical Staff Leadership issues and basically I don’t tell them what I am doing but what I am doing is sharing the techniques and the methods that I learned from excellent people. I learned well and I enjoy sharing it.
MRS. CLARK: So across the county they know about Oak Ridge Methodist Medical Center?
DR. REID: They do but what they know best are the methods and the approach that I learned by the side of Marshall, Ralph, George, Jan and Mike really, people like that. Betty Cantwell.
MRS. CLARK: She had been interviewed.
DR. REID: Betty is terrific. She understood physicians’, our issues and she fully bridged the gap between physicians and nurses in care.
MRS. CLARK: I want to thank you so much for your time and …
DR. REID: I hope you learned something useful in all that.
MRS. CLARK: Well I am sure we will and what we are going to have to do…
[End of Interview]
METHODIST MEDICAL CENTER ORAL HISTORY:
ROBERT RICKS
Interviewed by Ray Smith
August 29, 2008
MR. SMITH: Ok Bob, just start telling us about REAC/TS, begin by telling what the term means and how it came to be called REAC/TS?
MR. RICKS: Well the acronym stands for Radiation Emergency Assistance Center Training Site. The program was named by a physician who actually started the REAC/TS program and I'll describe something about him in a few minutes. We always had to laugh because shortly after the name was made public, one of the lawyers with ORAU got a letter of complaint. It seems that there was another REAC/TS and it turned out to be, and this was always a big laughing matter for us, the reader action service of Playboy magazine and as a result, we put a slash in REAC/TS. We assured Playboy Magazine Editorial Staff that we would not interfere with anything that they did. Not a lot of people know that and I don’t think you would want to put that in the history book.
MR. SMITH: No, but this is an interesting little tidbit.
MR. RICKS: Well, you may recall that many years ago, there was a medical division within ORAU that was the first facility in the country to use total body radiation as a means of treating leukemia, lymphoma, thyroid cancer, etc and there were both partial-body and total body radiation and it was about a 30-bed facility. I originally was asked to work there to do some research in relation to the effects of ionizing radiation on normal systems so that one would know what was going on with this new type of therapy. The person who hired me was Dr. Clarence Lauschbaugh who was a pathologist on the staff. He has been deceased some years now. Over the years that facility developed a lot of expertise in what happens to normal systems in the body that are irradiated and how much dose an individual could receive and survive that, etc and hopefully have their cancer cured. The program was funded by the Atomic Energy Commission and in 1974, there was a survey done that demonstrated the survival rate using ionizing radiation. At that time, it was really not any different than conventional chemotherapy procedures and as a result the AEC decided to close the medical division. There were probably 30 of us who were going to be looking for a new home and Dr. Lauschbaugh had this idea, that rather than have all that expertise to go away, why not keep some of it here in Oak Ridge and set up a facility that would exclusively be used to treat victims of radiation accidents. He approached AEC with a proposal after discussing this with Methodist and the program was funded. At the same time, the hospital was moving with a new westerly wing that REAC/TS is located and there was an empty space in the basement. The AEC worked with Methodist and ORAU to make arrangements to have that finished off and have REAC/TS there.
MR. SMITH: About what year?
MR. RICKS: The proposal and everything was done in 1975 and we actually moved into the REAC/TS facility in June 1976. Now, you have to keep in mind that there were and still are very few serious radiation accidents. The last done in this community occurred in 1971 at the Carl? [Inaudible] Facility and before that, it was the Y-12 criticality accident, 1958 and so the question was if we are not going to have a lot of accident victims coming to this facility for evaluation and treatment, how are we going to continue to sell this to the government. And again, Dr. Lauschbaugh and his vision, said, "Well, why don’t we use it as a training demonstration facility and we will have free of charge, courses of instruction in medical management of radiation emergencies." So the facility was designed with that in mind. It was actually a separate emergency department to the hospital. We would train Methodist Medical Center staff and offer these training courses to anyone worldwide. That is really, I think, what sold the continuation of that program so that you had spreading the word, so to speak, among the medical community in this country and outside. At the time, there were only two other facilities worldwide that could receive and treat radiation accident victims. One was in Paris and the other was in Moscow and so REAC/TS was the third. It was immediately very successful and still is today. It originally had a 20-year contract with Methodist to operate that facility. When that expired, we operated three years under a different kind of contract and then in about 1998, 1999, Methodist entered into another 20-year contract with the Department of Energy. So, the facility has program-wise, responded to about 500 radiation accidents and in some cases, the individuals would come here for evaluation and we would work with their personal physicians to ensure that they got the kind of medical care that was somewhat unique, although there is no unique disease associated with ionizing radiation. We were able to deploy anywhere in the world if the Unites States was asked to provide assistance and so we've done both of those and continue to do that through today. We have had a number of well-known, outstanding physicians come in and join us as guest faculty, people that had taken care of many, many radiation accident cases, particularly, physicians from the former Soviet Union. There was a hospital there, still exits, called Hospital Six and it wasn’t known until after the Soviet Union dissolved that that was the facility where all of the radiation accident cases in the Soviet Union were taken for treatment. They had seen hundreds of cases. We often wondered why they did so well following Chernobyl and it was because they had lots of experience and practice. Over the years, we have had several thousands of individuals through the facility. We worked with all three plant facilities, now just two. With their medical departments, we would either see individuals from the plants in our facility or we might even go to one of the plant sites if requested to do. I was thinking about how I might symbolize what I think the relationship is, its a triangle with REAC/TS in it and you got Methodist, ORAU and DOE as parts of that and all three have worked very closely together to ensure that the program has stayed in existence and they continue to do so. DOE and ORAU are obviously working very close together on a number of projects and we have always enjoyed a very excellent working relationship with Methodist in this whole process.
MR. SMITH: Can you talk a little bit more about that relationship with Methodist Medical Center, how it began? You mentioned a little bit about the facility but how have you worked with the hospital over the years?
MR. RICKS: Obviously, Methodist was always concerned if there were some major accident that individuals who were contaminated with radioactive materials would have to be treated in the hospital, particularly, if the injuries were very serious. The original plan was that anyone who was to be admitted to the hospital would come through REAC/TS and we would do medical stabilization there with assistance from the Emergency Department personnel and if contamination was present, it would be controlled and deconned as much as possible before the patient was admitted to either the Emergency Department, surgery or what have you. We worked with staff persons in various parts of the hospital to make sure that working relationship was going to be the way it was to be done. Indeed, on a number of occasions, a patient would be admitted to the Emergency Department and we were and still are 24/7 response group and we would be called out by Methodist and many times would go to the Emergency Department and provide the radiological assistance, surveying individuals, taking samples to run those and identify what contaminants might be, although usually from one of the plant sites, you pretty well knew what was being worked with there but there were other privately owned facilities in the community that persons might come from and you may not really know what was going on there so that working relationship has always been very, very good. We've even, of course, had physicians from the Emergency Department on our teaching staff to answer questions because we had courses for emergency physicians and nurses. We had an advance course for physicians who would provide long-term care and then we also had a course for health physics personnel to teach them how to work with a medical community and to understand that medical has priority over radiological in all cases. The working relationship with Methodist was established very early, actually before the facility was completed, in order to ensure that that kind of smooth transition into taking care of a contaminated case with REAC/TS assisting Methodist would ensure the best care and protection for the hospital and staff.
MR. SMITH: Let’s talk a little bit about some the response that REAC/TS has been involved in over the years? Typical?
MR. RICKS: Well, as I mentioned we had a number of minor things, although the injuries were very major and in some few cases, fatal, where we would assist in the hospital itself. But REAC/TS has also deployed to a number of major radiation accidents, both in the Unites States and out of the United States. For example, in the late ‘70s, there was an individual who found a lost radiography source in California, picked it up and put it in his back pocket and suffered a very severe lesion to the buttock and we were deployed out to work with the medical staff taking care of him and provided some advice and consultation from the standpoint of medicine. I am personally a radiobiologist by training and provided some advice based on the radiobiology of the event, etc. We deployed after Chernobyl to assist in some of the training of medical individuals in the Ukraine, Belarus? [Inaudible] and in Russia.
MR. SMITH: Some of the downwind situations that they had to deal with?
MR. RICKS: Yes. Following Chernobyl in 1987, there was a major radiation accident in Brazil where the highest level of internal contamination ever recorded in the history of nuclear was experienced. Two individuals took a perfectly operating source used in therapy and tore the device apart and took the material out of the source container. It was Cesium 137? [Inaudible] and unknown to anyone at that time, the source began to glow and they were fascinated by it. They didn’t understand what the radiation “propeller” on it meant and it didn’t really have much marking on it and Brazilians like things that glow. They seem to be practicing Carnival all the time, so they began to rub this on their bodies and they ate with the materials on their hands and so they got internally contaminated and no one really understood why that source glowed but we found out that the source had been manufactured at ORNL and sold to a company in Spain who actually made the device and got it down into Brazil. When we came back after the first trip to Brazil, we went and talked to the personnel at ORNL about that and they had not experienced anything like that either. They said that they were going to be dis-encapsulating three sources, one very close to the strength of the one in the Brazil accident and they would invite us there and we could look in the hot cell and see. They dis-encapsulated the larger source, turned out all of the lights and you couldn’t see your hand in front of your face, just nothing, it was so dark. We started talking about some of the things in the Brazil accident and after about one hour, the technician, hot cell operator said, "I think we need to turn the lights out again." Turned it out and the source was glowing a bright green and what had happened, it’s much like Cherenkov radiation in a swimming pool reactor, the source is made under high temperature and a lot of pressure and when it is dis-encapsulated, it begins to absorb moisture and the more moisture that is absorbed, the more it glowed and these people were just fascinated by that. One of the more recent deployments occurred about 10 years ago now in Peru where an individual found a lost radiography source, put it in his pocket and we were asked to go there and assist the Peruvian medical community because that accident was almost a carbon copy of the one in California but much more serious. We had gone to a major accident in El Salvador and the individuals were transferred to a hospital in Mexico City and we made several trips there to assist the lead physician. We have gone to Jamaica, and Canada to provide assistance but a lot of radiation accident management is done through telephone, e-mail consultation because there is no medical emergency associated with it.
MR. SMITH: Let’s talk about the two that were here in our community. The first, although REAC/TS was not in existence in 1958, there was some involvement with Methodist Medical Center. Do you have any of that history?
MR. RICKS: I don’t have all the history right in my head, but the victims were seen from the Y-12 accident in the medical division and Dr. Lauschbaugh was involved in some of that. Then, in the 1971 CARL accident, that individual was also seen in the Medical Division. Dr. Lauschbaugh was involved in that case and that person survived and unfortunately developed what was thought to be a radiation related leukemia about 15 years later and he was hospitalized here at that time, 15years later. He stayed in the Medical Division during the initial recovery and diagnosis.
MR. SMITH: What else can you think of? Anything else that we need to be sure we documented on REAC/TS?
MR. RICKS: I think there is another aspect that I think is important because the EMS personnel in this community obviously work very closely with Methodist and over the years, we have worked very closely with those groups of individuals to provide some special training to them, to make sure they understand what the problems are and are not because there is a lot of uncertainty and misunderstanding about ionizing radiation. I think that has helped bring the medical, medical response community closer together with regard to "what is going to happen if there is something going on." Obviously, there is a lot of concern now with regard to terrorism and the possible use of nuclear or radioactive materials in that and the community is much better prepared, I think, to respond to something like that in a good way without panicking, although obviously there would be a lot of panic among citizens and perhaps everybody if something like that happened. REAC/TS also was the facility that maintained a stockpile of two very unique drugs that could be used in treating internal contamination. There is a drug called DTPA that is used to enhance the removal of plutonium and americium from the body and for many years, REAC/TS was the only place in the United States where that drug could be found. A network of collaborating physicians was established and DTPA, under REAC/TS direction and monitoring was put in all of the DOE facilities around the country that had plutonium and americium present. Then another drug called Prussian Blue which is used to remove Cesium from the body was also maintained at REAC/TS, both of those drugs are still maintained at REAC/TS, although they are no longer investigational drugs. The aftermath of 911 resulted in the government wanting to stockpile the kinds of medication that might be used following some type of nuclear terrorism and so we were instrumental in working with the US FDA in seeing that those drugs were put into the national pharmaceutical stockpile.
MR. SMITH: We mentioned some of the exercises, local exercises, large training, large response exercises where we have cities involved, facilities involved, what is REAC/TS role in those?
MR. RICKS: REAC/TS role is always to assist the local response community in what they would do in the event if such an occurrence takes place. REAC/TS would never go in charge of anything because the local community has to be the one to make those decisions but REAC/TS has participated on numerous occasions in very large scale exercises. Probably one of the biggest occurred in Seattle some years ago and it involved a terrorist bomb that "spread radioactive material around" and we were there in a support role, had personnel from REAC/TS on the scene to work with the local responders and also at the major receiving hospital where the "victims" were going to be taken for evaluation and treatment. There is usually some big exercise like that every 2 or 3 years.
MR. SMITH: Good. Can you think of anything else that we left out?
MR. RICKS: I think that pretty well covers it.
[End of Interview]
METHODIST MEDICAL CENTER ORAL HISTORY:
CANDE SEAY
Interviewed by Kelly Owens
August 19, 2008
MRS. OWENS: Here is the consent form, saying that you are letting us have and use your story, please sign and date.
MRS. SEAY: The date is?
MRS. OWENS: August 19th, 2008. If you will go ahead and tell us your full name including your maiden name.
MRS. SEAY: Yes, well my full name is Mary Candida Michel, just like Dr. Jim Michel. My married name is Seay. Mary Candida Seay, but I go by Cande Seay.
MRS. OWENS: You were born?
MRS. SEAY: I was born May 11, 1947, in West Point, New York.
MRS. OWENS: How did you end up in Oak Ridge?
MRS. SEAY: I went to the University of Minnesota to the School of Nursing. My family is all from Minnesota, my dad was in the Air Force so he was living in Wichita, Kansas, and stationed at McConnell Air Force Base and I went to a state school which happened to be Minnesota; that’s why I went to the university there. After I graduated in 1965, I went home to live at Wichita at the base with my folks and I got a job at St. Francis Hospital in Wichita, Kansas. I was a pediatric nurse and at that time “rotating” through pediatrics was Dr. Richard Dew. He told his friend Dr. David Seay, that there was somebody he wanted him to meet on the Pediatric floor, so that is how it happened. I met David my husband on the Pediatric floor.
MRS. OWENS: And Dr. Dew was a pediatrician?
MRS. SEAY: Well he was the Chief Resident, so they were both in “Family Medicine.” Dr. Dew was a year ahead of David, so that he was the Chief Resident and David was the year behind him. Richard came to Oak Ridge the year before we did and called David and said, “Please, before you decide where to practice come look at Oak Ridge Hospital.” That is how we got here.
MRS. OWENS: What year was that?
MRS. SEAY: 1972.
MRS. OWENS: Did you and Dr. Seay both came together.
MRS. SEAY: Yes, together.
MRS. OWENS: What was your first job?
MRS. SEAY: My first job at Methodist didn’t happen until 1990, because I stayed at home and I only worked about a year after I got married as a nurse, and then in 1990 my kids were on their way to college and I was looking to go back to work. My friends, Jan and Randy McNally knew of a position at the hospital that I should apply for which was in the Woman’s Center. I applied for that position and that was my first job at this hospital.
MRS. OWENS: What position was Jan in when you first came here?
MRS. SEAY: Jan was probably….she had just come out of ICU and I think she was maybe one of the nursing directors, at that time.
MRS. OWENS: Who was at the Women’s Center you were working with at that time?
MRS. SEAY: I worked with Wanda Vines and Wanda had worked with Wilma Brantley and Dianne Morton in the Education Department and then when they separated the Education Department, they pulled Wilma over into the Women’s Center. Actually, that’s not true, they pulled Wilma out of the Women’s Center into the Education Department, that’s how it worked because there was such a big library at the time.
MRS. OWENS: How did you transition from the Women’s Center to the Hospitality House?
MRS. SEAY: That was just another one of those beautiful things in life.
MRS. OWENS: Did you have anything in-between?
MRS. SEAY: No, the time was just right. We had been doing a lot of programs about cancer, I myself had been diagnosed with breast cancer in 1996. The Cancer Center was going pretty well at that time. I think one of our first Holiday Lights for Health, if not the first one, provided the financial support for our Oncology Center. How the Hospitality House came about was that a friend, Tom Adkins from the First Christian Church was looking for someone to lease their parsonage. He came to Joe Diehl at the hospital (the hospital property manager) and asked him if the hospital would be interested. Joe called me at the Women’s Center to let me know there was a building available for our use, and I had collected and had saved information about a Fellowship Center in Knoxville, which is a Hospitality House. I quickly called Wilma because she and I had talked about that before, also she was very familiar with the Cancer Center program and so in our minds we were thinking golly, we could have a place for our cancer patients who were traveling into it from out of town and needed a place to stay, just like the Fellowship Center in Knoxville. So Wilma and I were very excited and then Joe came back to us and said, “now you know we’ve got some property, we have two old E buildings right down here on West Tennessee Avenue, and you know if we leased the place that is just a five year lease, so let’s look at what we’ve got”. We brought Sara Whitely, who was the director of the Fellowship Center in Knoxville, to look at the property. We looked at the property, which was two four bedroom apartments, called E Apartment buildings built years earlier, I believe they had been leased or rented by Ridgeview earlier and used as group homes, and as dormitory and/or assisted living kinds of places. Sara said they would work out great. We were very excited and we were so grateful to the Christian Church for getting it all started so we brought Tom Adkins onto our Board to be a kind of sounding board as we were creating the whole process. After we said, “Yes, we have a place” then the hospital said, “Yes, you have these places.” We were very excited and then we had to figure out a way to sponsor and promote it, but in the meantime as all things transpired, they were going to need a director or a manager and I kind of was really hoping that it might be me. It just seemed to fit me, fit my life, fit my energy and desires, and so that is kinda how I got to be there.
MRS. OWENS: Can you pinpoint one person who might have really jump-started the idea of having a Hospitality House here at Methodist?
MRS. SEAY: I know the volunteers had also known about hospitality houses. I really think that years and years ago, having talked to some of the older volunteers, and I can’t remember exactly, it might have been Mary Beard or Margaret Garrett, but there was one of those E buildings in that very same neighborhood, but I think it was on Nesper Road, that had been used for a home away from home, a Hospitality House / motel or whatever during the first years of the hospital. I think the house was run by volunteer office or the Gray Ladies or the Pink Ladies, it could have been during the war, and that’s just a very fuzzy memory. I think the volunteer services kind of had an idea of recreating that and as I had a folder with some Hospitality House information up in the Women’s Center, I think the volunteers had a folder down in their file box, too. So just to get it jump-started, I think the ideas were in our head that the Cancer Center was growing and we needed to house the families, and I just really think that because of Tom and the First Christian Church saying, “what could you do with the Parsonage?”, I really think that got the motor going. Of course, the timing was perfect.
MRS. OWENS: So, when you started out to create a Hospitality House you had both of the houses, but you only developed the first one?
MRS. SEAY: Right, we had to choose which one to develop. Wilma and I made a presentation to the board (with Sara Whitley‘s help of course). She said, this is how much it would cost to renovate, because she had kept all her records. This is how much it would cost to run a house. This is all the kinds of support you could get from the community. We made a little business plan and we presented it to the Foundation Board and we asked them to support us - that is we needed $25,000 (that is the number in my head but I’m not sure if that is the correct number) and if they could do that it could be brought up to date, renovated. We would then need the Foundation to support it financially. We made our little “spiel”, and we went out in the hallway and we waited for them to vote and honestly they were so excited it wasn’t but six or ten minutes and out they came, you know, and said, “We totally support you and we think it is a great project. Go for it.”
MRS. OWENS: Do you remember who was on the Foundation Board at that point?
MRS. SEAY: Of course. George Matthews was the president at the time, and I’m sure Ken Sommerfield and Mr. Ken Jarmalow were on it at that time.
MRS. OWENS: What year did this really begin?
MRS. SEAY: It was 1996.
MRS. OWENS: And from 1996 until it was finished, how long did it take for the renovation of the house?
MRS. SEAY: Well we started renovating the fall of 1996 and we saw our first patient in January of 1997. The fellows from the hospital just really cranked it up. They painted, made a bathroom handicapped accessible, moved a wall in the kitchen, widened the doorway of the handicapped accessible room, and we carpeted, we painted and redid the kitchen, that is pretty much what we did.
MRS. OWENS: Was the hospital staff working on this or did you hire contractors?
MRS. SEAY: It was mostly our own fellows, the engineering department. They had one little contractor that they subcontracted to for the kitchen and I forget the name of that fellow. But he came over and gave us some new cabinets, but everything else our fellows did.
MRS. OWENS: The engineering guys.
MRS. SEAY: Yes, the carpet, the electric, plumbing that needed to be done. They did it all.
MRS. OWENS: And furnishing the house, where did those funds come from? Was it donations or did you raise money for that?
MRS. SEAY: The very first….the most beautiful thing was we furnished it with people making donations and with using a little bit of funds to buy some things. But mostly it was donations, like ….I remember now…. There was friend from a church and I’ll think of name in a minute…a member of St. Mary’s Church. She called about 20 or 25 people and said, “If you would like to make a donation, you can buy a fork or a spoon, microwave” and she raised all the money to do our kitchen.
MRS. OWENS: Really.
MRS. SEAY: That’s right. I’ll think of her name in a minute. It was Susan Tull. She was really good friends with Steven and Linda Dekanich, who were our first big supporters and the First Holiday Lights chair people. They were very big supporters of the Hospitality House.
MRS. OWENS: What about Bill Manly? Isn’t the first house now named after him? After the opening of the second house, what role did he play?
MRS. SEAY: That came about five years later, if I recall, when David McCoy was Foundation President. Bill Manly was very generous to our hospital and David and he were very good friends. We were at the point where we were having do some renovations on the house and really needed some financial assistance and we had proposed that for $10,000 donation you could have a room named after you, so the Masons had raised that much money for us and one of the suites in the Manly house is named after them. The Volunteer Services had raised more than that so the first suite in the Manly house is named after them. The Medical Alliance Roane/Anderson donated $10,000 and named a suite in honor of me, which was very sweet. When it came to more donations coming in we named the first house the Manly House because Mr. Manly donated so much money in memory of his wife, Jane. I believe our parlor at the Manly House is in their honor. Because of all the support they have given to the house and to the hospital, we created the second house which became known as the Calm House. Jenny Edgar and David McCoy and the hospital said, “Let’s name the first Hospitality House the Manly House.” So that we could discern which house we’re always going say Manly house, that worked out great because I think he is well deserving of having his name in the front yard.
MRS. OWENS: Do you remember the first guest at the original Hospitality House?
MRS. SEAY: I remember what he looked like and if I went back to the books I could pull his name, I’m sure his name is on record in that book.
MRS. OWENS: But he was a distinctive character?
MRS. SEAY: Yes, because he needed to use the handicapped suite because he was either in a wheelchair or he had a leg he had to drag but I kinda think he was in a wheelchair. He had a very large son and I don’t remember if he was in the wheelchair or the daddy was in the wheelchair, but it was so cute. They were from Scott County or up on the mountain there somewhere. We were so excited that we had a guest…actually we were excited we only had one guest, because we didn’t have beds in the other rooms. He was just delightful, grateful and appreciative and probably our very first guest donation came from him. I believe it was a five-dollar bill, when they checked out. He was charming and could not have been more perfect, because they were a family that we really wanted to help. It was our goal and it was just great. [INSERT FROM LATER IN THE INTERVIEW: I’m looking at the record now and see that our first guest was not the gentleman I told you about, our first were some sisters from Greenville, Ohio, but I guess my most memorable guest was that little fellow I told you about.]
MRS. OWENS: Do you remember how long they stayed?
MRS. SEAY: They stayed twice actually, but the first time they probably stayed maybe a week.
MRS. OWENS: What other types of patients have you had? What’s your typical Hospitality House patient?
MRS. SEAY: Well it runs the gamut, from the lady I checked in one time who came from a home probably up in Scott or Morgan county who lived in a house that had dirt floors, and then we have had families that didn’t have running water. We had, I think it is ok to say, Annabelle Clement O’Brien who stayed in our house one night. So, we had a state senator stay in our house, so we have had anybody….everybody…..and we have had families all over the country but one of my very first house guests and probably my favorite only because they were so endearing, were from Bath, England. They were delightful.
MRS. OWENS: How did they end up here?
MRS. SEAY: They were touring, they were in Oak Ridge touring because they had read a guide book and they were doing the Manhattan Project, and they were very into the historical aspects of Oak Ridge. And when they were here she fell and broke her hip, so to convalesce, she couldn’t stay in the hospital and they didn’t live here so they couldn’t go to the nursing home, so from the hospital she came and rehabbed in our handicapped suite. They were here for almost a month. They were so wonderful, so interesting and so appreciative.
MRS. OWENS: Did she get a kick out of staying in one of the original Manhattan Project houses?
MRS. SEAY: Exactly. The whole thing, as it turned out years later when my husband and I went to England we went to visit them in Bath and they hosted us at their home which is right on the crescent in Bath, England. I mean it was so exquisite.
MRS. OWENS: How have the houses been supported over the years? After they got initially started, what would have been their main support?
MRS. SEAY: They are totally funded by donations. Probably the biggest donations have come from our Volunteer Department. They traditionally have given us thousands and thousands of dollars every year; they have given us the most support. We get a lot of funding from churches and community organizations, like the Masons, the Lions Clubs and the Daughters of the Eastern Star. Even one church, I think it was Trinity, they had the Christmas tree sales every year they would select charities to which they would give their funds and every year they would give to the Hospitality House. Some the donations come from individuals and then from our guests. We do not charge the guests anything to stay there, but we tell them we gladly accept donations and everything they see or use in these homes have been donated for them and for their comfort. We have a couple of big fund raisers every year, traditionally Holiday Lights for Health has been our major fund raiser and that happens during the Christmas season, then we have a Golf Tournament that in the last eight years has raised money for the Hospitality House (among other Foundation projects) and then in the spring we’ve had a Casino Night fund raiser (also raises money for other Foundation projects). I would say those are the major fund raisers.
MRS. OWENS: I know Holiday Lights for Health, which raises money solely for the Hospitality Houses, originally began for the Cancer Center. When did that transition take place?
MRS. SEAY: I have a feeling if we could look back at the records and see when the Cancer Center was up and going… I’m not for sure it wasn’t the second year, that perhaps we transitioned from the Cancer Center to the Hospitality House. It was always called Holiday Lights for Health, and I believe Crystal was in on the first creation of that event…Crystal Jordan. (First Holiday Lights held in 1989, per press release)
MRS. OWENS: Was that the first fundraiser that you all did for the house?
MRS. SEAY: Oh, definitely, in fact it was the only one we did for the house for a while, although we did organize a mail campaign fund raiser that was like a non-event instead of having a real event we had an Easter egg un-hunt (like an Easter egg hunt) where we created a little mailing list and mailed it all out…. “We’re having an Easter egg hunt but you don’t have to come but you can buy these colored eggs or these colored eggs or these different levels of funding.” That was a nice little fund raiser but nothing big. We needed tens of thousands of dollars, we needed something big and that has been our Holiday Lights, such a wonderful program.
MRS. OWENS: What about the Ritzy Thimble Quilting Guild? I know each patient gets a lap quilt when they arrive. Do you want to tell that story?
MRS. SEAY: Well, that came right as I leaving the Hospitality House, so Jenny Edgar will remember this a little bit more. But my neighbor, Betty Plummer is an excellent quilter and she belongs to the Ritzy Thimble Quilters Group. She knew I was going to the Hospitality House everyday, and she would get the literature because I would always tell her about our fundraisers and things like that. And their group had been making lap quilts for the Ronald McDonald House for many, many years and Betty said, “Well you know gals, we have a Ronald McDonald-type House right here in town and what do you think about supporting them?” Everybody loved that idea and they started making quilts. They are just glorious and every patient gets a handmade quilt and they can select it because they are all so creative individuals that you might like one with cats or you might like one with trees, or something else. They are very, very special.
MRS. OWENS: Do you remember what year they started?
MRS. SEAY: Let me think, when did we open the Calm House? October, 2006, that would probably be when it started.
MRS. OWENS: How have things changed over the years? Because you are still very involved with the hospital and the houses and have you seen any big changes since you left as manager?
MRS. SEAY: Well, I do take calls for the houses and just happen to be on call last week, so it’s good you are asking me this because it is fresh in my mind. One thing that is so wonderful, Kelly, is our Calm House, our second house Hospitality House that Jenny has created…it is so beautiful and the house looks like the original Manly House, but when you go inside it is totally brand new. I mean from the studs to the paint. They gutted it….new floors and walls, electric, ceiling, plumbing windows, everything is brand new. I remember going to a National Association of Hospital Hospitality House Conference and I remember every conference we went to we always got to visit the Hospitality House within that city, the host was responsible for it. There would be old houses, new houses, and I remember walking in a brand new Hospitality House and I remember thinking “Oh wow! Wouldn’t it be nice if we had a brand new house, “Never dreamed that a brand new house would ever be possible”, so that is such a pleasure for me to be able see that happen.
MRS. OWENS: Do you want to talk about any of the other ways you have kept involved in the hospital over the years? When did you retire?
MRS. SEAY: I guess this so hard to remember but I’ll have to go back to my grandchildren, Veda is six and I think it was four years ago, so maybe I started thinking about retiring at 2004. I help with some of the fund raisers and the Holiday Lights for Health, that’s how I have stayed involved with the Hospitality House.
MRS. OWENS: You retired to spend more time with your grandchildren?
MRS. SEAY: Yes, exactly. I could not do two jobs and I wanted to spend and be the Nanny for my grandchildren, so when my daughter-in-law works, then I am the Nanny for the children and that is two days a week and then, if they let me, I help a little bit more. Now my oldest son is moving to town next week with two more grandchildren, so I will be Nanny for five grandchildren. So that is a full time job. That is what I am called to do right now and it is great.
MRS. OWENS: Now your husband is still in practice here in Oak Ridge?
MRS. SEAY: Yes, indeed he is. The Family Clinic on the corner of Vermont Avenue, right across the parking lot from the Cancer Center.
MRS. OWENS: Has he been with them the whole time he has been here?
MRS. SEAY: The whole time. We came in 1972 and Dr. Richard Dew and Dr. Guy Fortney were in practice together and David joined their practice. It was in the original Medical Arts building. I don’t know if you remember that, Kelly, because it was torn down before your time. They were on the fourth floor and then when Dr. Heald and Dr. Jenkins joined the practice they moved down to the first floor of the Medical Arts Building, where the library had been and then the practice had grown, now there are eight physician’s maybe even nine now; they are in the Family Clinic building.
MRS. OWENS: Wonderful, do you have anything else you want to add from your records or timeline you have from the hospitality house that you want to mention? Any notes that you remember, that triggers?
MRS. SEAY: One thing I would like to say, whenever I get a chance is that we are so fortunate here with our Hospitality House for a couple of reasons….
Our house is totally supported and encouraged by our hospital, by the administration, by the staff, by all the departments and that is a beautiful thing. I mean the operators help us with the phone calls that come and they help us get connected back and forth to keep things running smoothly. The security guards are totally involved --- sometimes when a patient or family locks themselves out of their room or they can’t get their car started. The cafeteria staff --- I remember we used to be able to run over and get milk, bread, eggs, sandwiches for people who had nothing. Having the Foundation Board and all their support it is just remarkable. Otherwise you would have to be a free standing unit and really try to get all that financial support and it would be much more difficult. That is the first thing I am so proud that our hospital has a great Hospitality House. The second thing… I think our community has embraced the Hospitality Houses, just like the Mason’s, the Ritzy Thimble’s, the Trinity Methodist Men’s Group, the Women’s Churches, the Daughters of the King, who take care of the gardens at the Hospitality House, and then individuals who serve on the Foundation Board who love the Hospitality House and are going make sure that it is not forgotten. These are all reasons why it is great to live in Oak Ridge and be here.
MRS. OWENS: What about the people you have worked with in the house? Who would be “staff” at the Hospitality house in addition to the managers during your time there?
MRS. SEAY: I cannot believe I have not said anything before this, but the volunteers that work at the Hospitality House are the people that our guests see most because the manager is not always there. But the volunteers are always there during the day and they are the ones that fix the coffee and make the beds, or make sure that the guests have somebody to talk to, or maybe we have some volunteers who make the best bean soup or the best potato soup or the best cookies, those are beautiful gestures that the guests appreciate so much and just every volunteer that works there finds that ministry of the Hospitality House very specifically is their choice because they know what the guests are going through and they can help just a little bit of that time when those people needs someone, comforting or a word and a shoulder. Our volunteers make the house look pretty inside and outside and they are the ones who make the families feel special. When you read the guest letters and the little notes that they write in the books and the cards they send, they always, always say “Thank you, Jenny. Thank you, Cande. Thank you, Volunteers…you just do not know what this house had meant to me.” They’re the rock at the foundation, there.
MRS. OWENS: Anything else you want to add or recognize anyone? Special experience you have had? Any memorable experiences you have had at the house?
MRS. SEAY: Yes, I have had many memorable experiences…the cutest one or the one I like the best is…there was a breast cancer patient which was with us for many weeks and she was younger than I was but she was very nice and charming, we had a very good time getting to know each other, this was in the original Manly House and when you open the front door you can look directly at the stairway and at the top of the stairway are our two little bathrooms. One morning I open the door and walk in there is my guest sitting on the toilet and I say “well good morning” and she never missed a beat and I never missed a beat…but I think that is hilarious and when we drew up the plans for the second Hospitality House the one thing that I made sure of that would be it that when you open the front door you did not look directly upstairs into the bathroom. That is my funny story.
MRS. OWENS: Did you have your hands in the planning of the Calm House?
MRS. SEAY: I did and that was a real special treat for me because that would be in the Calm House notebook but he was the fellow that drew the plans for the house and we talked a lot. We duplicated what we had but I said these are the things that we could really improve on and one of those things was the offset doors to the upstairs bathrooms, to have a dedicated potty powder room for our volunteers. Because they didn’t have their own bathroom, they had to use the guest bathroom and with all the guest rooms we filled it was awkward and then the other thing was to have a dedicated laundry room which was not situated in the guest rooms. I think those were the three main things I am very proud of.
MRS. OWENS: Where you still with the houses when the Calm House was being developed?
MRS. SEAY: Yes, I was. Oh my lord that took a little while. It probably took from the moment we started having these wonderful meetings at the hospital with the Calm people it was three or four years before we finally got to the dedication and I couldn’t wait that long. I needed to retire and take care of my grandchildren but slow and steady it happened and we tried to feed the workers that were there and we just tried to make them feel like we were proud and happy to have them there, so that was something we started with and Jenny continued with it. God bless Jenny, she had the brunt of it, she had to really finish it and the finishing took a long time.
MRS. OWENS: How did the Calm House actually the concept for it begin?
MRS. SEAY: I have to compliment our friend Lou Rabinowitz. He was on the Foundation Board and he was a member of Rotary and as a member of Rotary and a person who just loved the Hospitality House and everything it stood for, he had contacts with management and labor folks at the plants. He said, “you know, you all could completely redo the second house, they needed a second house, they are full so much that they could use the extra space. This would be a boon for you, boon for our community and a boon for our hospital,” and he talked them into it. The fellow who was the lead was Dick Davis, who right after it got started, no it wasn’t Dick Davis, it was the fellow before. But after we signed the papers, the fellow who said, “Yes this is wonderful,” and he was in charge and making things go, he was transferred.” I can’t remember if it was Dick Davis or the fellow before him and that stopped things for a long time. Different little things like that kinda threw little monkey wrenches into the plan.
MRS. OWENS: When did it begin? Talking about the Calm House concept?
MRS. SEAY: I would have to go back and look in the notebook but I am thinking probably in 2002 or 2003, I will guess 2003. It was two years before I retired. If I retired in 2005 and it was another couple of years after that, I remember thinking it was at least three years start to finish but I remember it might have been almost four when we first started talking about it.
MRS. OWENS: Is there anything else that failed with that project or are you trying to block it from your memory?
MRS. SEAY: I think I was just amazed and so excited that they choose to just start from scratch. I think the workers probably were not. The person that was the builder manager, oh his name is Holmberg, his name is in the book too. But it was at that time that an Eagle Scout wanted to do a project and he wanted to do a gazebo and the building trade director took that Eagle Scout under his wings and because of the building trades men and all of their interns, this Eagle Scout did this project and it is adorable. I think it is very attractive and so that was maybe another community win/win situation where two groups really worked together to help one another.
MRS. OWENS: Anything else you want to talk about?
MRS. SEAY: I can’t think of anything else but I’m sure I forgot some very important people. I’m looking and my first guest was not the gentleman I told you about, they were some sisters from Greenville, Ohio but I guess my most memorable guest was that little fellow I told you about. Even at the beginning, looking at the leadership Oak Ridge, this was in 1997 Leadership Oak Ridge sponsored a party called an Evening in the Old West it was down at the Mall it was in one of the rooms and they raised $5,000 for us and that was a huge amount of money at the time. That was great.
MRS. OWENS: Another example of community involvement.
MRS. SEAY: Exactly. I thought to mention the Cancer Center and I don’t know why, most of our patients but we always gave priority to the cancer outpatients, so a lot of our interaction would be with our people at the Cancer Center. A lot of our time was spent either taking a patient over there or picking a patient up from the waiting room and we had patients who didn’t have family members with them and they were all alone and sometimes we would be very worried about a patient who was quite ill and it was so nice to just be able to call the nurses over there and say “we don’t know what we’re doing over here but we want you to know how sick Mr. so and so is, and we just want you to calm us down and tell us what to do”. That was always a sense of support and cooperation. We had some wonderful nursing, technical people over at the Cancer Center throughout these years, too.
MRS. OWENS: What about the physician involvement with the houses and centers?
MRS. SEAY: Dr. Larry Lee, one of the first physicians at the Cancer Center but has since retired, was a huge sponsor of the Hospitality House. During Holiday Lights, he always bought lights for all of his staff, he kind of got that started. I think maybe the doctors upstairs did the same thing. Dr. Lands and Dr. Foust, who were there when Dr. Lee was there. Then there were some special physicians; Dr. David Stanley, was a very, very big supporter of the Houses. He had a lot of his patient families stay with us and the surgeons and our open heart surgery. All of the surgeons and some of the medical staff too, but primarily our surgery and specialists had families in our house. When a guest checks-out we like to send a little follow up letter to the doctor, saying your patient’s family stayed with us, and I think that helps to let them know more about the house.
MRS. OWENS: Thank you so much for sharing with us, if you can think of anything else we would still love to hear stories…..
MRS. SEAY: Well, stories are fun but just getting it started was just a fluke that happened at the right time, all the pieces were in place and having the Knoxville House to mentor us that was huge…
[End of Interview]

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Contents
DR. FRANCIS (RANDY) REID 2
ROBERT RICKS 17
CANDE SEAY 27
METHODIST MEDICAL CENTER ORAL HISTORY:
DR. FRANCIS (RANDY) REID
Interviewed by Patricia Clark
January 28, 2009
MRS. CLARK: Pat Clark interviewing Dr. Francis also know as Randy Reid an ophthalmologist and first thing I want to know Dr. Reid is some back ground information about you, where you were born, even the year if you are willing to say….
DR. REID: Oh sure.
MRS. CLARK: And …
DR. REID: I was born in Memphis, Tennessee in 1950.
MRS. CLARK: Ok and you were educated?
DR. REID: I did undergraduate work at University of Tennessee, Knoxville. I did my medical school at University of Tennessee, Memphis, and then stayed there for my internship and ophthalmology residency.
MRS. CLARK: So you have been strictly a Tennessean.
DR. REID: Strictly a Tennessean, I finished my residency in 1979 and came to Oak Ridge right from there, straight from residency. I have been practicing here since 1979, this is my 30th year.
MRS. CLARK: Oh my congratulations. And you are married?
DR. REID: Yes, wife Karen and we have three children who are now grown off the pay roll.
MRS. CLARK: Ok, anything else about your personal life before we move on.
DR. REID: If it is pertinent, we’ll see.
MRS. CLARK: Oh right. OK and your specialty is ophthalmology, I don’t know if that can be divided down into other fields or………..
DR. REID: Well I do general ophthalmology.
MRS. CLARK: And you are in a group I believe.
DR. REID: I am in the Eye Center, we have twelve doctors in the Eye Center now. Six ophthalmologists and six optometrists.
MRS. CLARK: Oh, you let the optometrists in.
DR. REID: Yes, we have six locations and our main location is here in Oak Ridge.
MRS. CLARK: And where else are you?
DR. REID: Cookeville, Harriman, Rockwood, Lenior City, and Wartburg.
MRS. CLARK: Oh my, you need a large staff to cover that. And you came to Oak Ridge in 1979, how did you find the community when you came at that time?
DR. REID: You mean in terms of who recruited us to town?
MRS. CLARK: That would be interesting.
DR. REID: Ok, I was recruited by Nick Kaebnick and Lee Smalley, two ophthalmologists who have served as Chief of Staff of the medical center here, back many years ago. But they recruited me to come and join them. At the time we had, the ophthalmologists were all in solo practice, so they were inviting me to be a competitor.
MRS. CLARK: Oh my, so when did you join forces?
DR. REID: Well we joined forces in 1995.
MRS. CLARK: That recently.
DR. REID: So we practiced as collegial competitors for many years and then in 1995 we formed the Eye Center.
MRS. CLARK: So 1995. You do your own surgery there.
DR. REID: At the Eye Center.
MRS. CLARK: Before you had the Eye Center you would have used the hospital?
DR. REID: We used the hospital for everything.
MRS. CLARK: All right, then let’s look at some of your relationships at the hospital.
DR. REID: Sure.
MRS. CLARK: Your colleagues your… your recollection of the people of the medical staff here.
DR. REID: Oak Ridge is unique in many ways…but having one hospital makes us unique, it is like having one high school, the way the community senses rapport at the high school. It makes for a very pleasant working relationship for physicians because they have one hospital to support, their allegiances go there, their best efforts to make the hospital successful in their practice there. The interest of the hospital and the private practitioner are more aligned when you have one hospital as compared to other communities where you might have multiple hospitals and you might have physicians playing one hospital against another. It is not so much an issue here, that is a little more now because some physicians play Knoxville hospitals against Oak Ridge but for the bulk of my career it has been supportive of the medical center, even though we do our surgery down the street we are still on the active staff and provide emergency call to our emergency surgeries here, certain elective surgeries here, consultation services, so we are still active on the medical staff.
MRS. CLARK: Now I understand, I did not talk with Dr. Stanley myself but I understand he recommended you, that you had some interesting stories to tell.
DR. REID: Well, I served as Chief of Staff in the early 1990’s and I have been involved in the medical staff leadership activities here for many years and that has given me an interesting insight to the governance of the medical center and its transition over the years and when I think back across my thirty years here, there have been some remarkable events that have come strictly because of the management and governance we have been blessed with at Methodist. I’ll just mention three that to me stand out as significant events in our history. The first one is back in the early 1980’s and I guess in the way of background in 1983, the Federal Government changed the way hospitals were paid. They instituted a program called DRG’s for Diagnosis Related Group’s and starting in 1983, hospitals were paid based on what the diagnosis was. Prior to that they were paid based on what they did and so there was no…. the incentives were not there to conserve on the expense. It was more of a cost-plus type of payment before 1983. Well if you think about that when the government instituted DRG payment system a lot of hospitals suddenly lost their… a good portion of their revenue and income. Now a lot of hospitals were in trouble and so if you can look back to 1983 around then smaller hospitals were teetering on the brink of solvency and hospitals were in the mode of shrinking their services to try to stay open and stay… continue to serve communities but hospitals were being closed and some were being sold. It was a very difficult time for hospitals and that was the environment that Methodist was in too. It was looking at a great drop in its income and as a hospital it has to have profit in order to build facilities and show profits. Our management and leadership at the time was Marshall Whisnant and Ralph Lillard, our president and executive vice president, with the board rather than shrink at the time that all of the hospitals were shrinking, when the reimbursement was cut with the DRG’s, they decided to grow the hospital and they embarked to turn the hospital from facing Tennessee Avenue to the Turnpike and they built Physicians Plaza, the large medical office building between the hospital and the Turnpike. It certainly was a major facelift for the hospital, the medical office building around the hospital to bring more specialties, they recruited more specialties to build the medical office building and added new services and rather than shrink under the declining reimbursement they decided to grow. McRay Sharp was one of the people, he worked for Methodist Medical Management which helped manage physician practices but he also gave advice to the board and interpreted our data as it relates to our core services and what percent of the market we had here and customer satisfaction. McRay always taught us that capacity equals share and if we wanted to do more work, we needed good doctors and more doctors and the hospital invested in that and at a time when other hospitals shrank and never really came back, Methodist flourished. That was in the early 1980’s and that was a remarkable event and really set up to enjoy the next landmark for me which was the Tennessee Quality Improvement Award. I don’t know what year, do you?
MRS. CLARK: No, I don’t.
DR. REID: But the events occurred for that again strictly and I give credit to our leadership and management, Marshall Whisnant and Ralph Lillard again they spearheaded the quality effort, they got the medical staff to take days out of their practice to go to class to learn about quality monitoring and quality programs. Hospital staff bought into that, all of the quality programs went into place and the fruition of that was the Tennessee Quality Improvement Award which we were the first hospital to get that in the state. I look… quality starts at the top. I look back on our leaders that we had at the time to guide us through that, you know going forward in time. The next big event would be an event of the mid 1990’s when healthcare was going through some changes that involved large insurance contracts directing pools of paper. In the mid 1990’s the way the insurance plans work under managed care was if you were not on the insurance plan you could not see the patient so large blocks of patients were moved around in a way that it made it difficult for the hospital to book enough business if they were not party to the insurance plan. Those of us who were involved in that we viewed it more as managed payment not managed care but they called it managed care. But there was another time when it made it very difficult for independent hospitals to be successful because the blocks of patients were being moved and if you were not the player on the chessboard you could not see the patients, it didn’t matter how good your work was if you were not in line to receive patients from a given contract, those patients couldn’t come to you and being a largely one industry town we were vulnerable. The employees of Martin Marietta at the time had been contracted away from us and half of the events of just the history of insurance in the mid 1990’s, the vision and the wisdom then was to form Covenant Health. The events of the time made sense for the hospitals to join with Fort Sanders Foundation Hospitals and formed Covenant Health and that has been a very controversial thing for the hospital and for the community over the years. At the time that it happened it made sense for every reason for the financial integrity of the hospital. Since then Methodist has had its share of issues related to financing and increased cost of providing care and it had to reinvent it’s self.
MRS. CLARK: Do you think perhaps the community never really understood the problem that the hospital faced at the time that it became part of Covenant Health? I remember that as being very controversial at the time.
DR. REID: It was controversial and I think probably the community did not recognize the impact. We formed the Eye Center at the same time for all the same reasons. It was apparent that unless you joined forces with a entity that had access to the contracts you were not going to be able to see the patients.
MRS. CLARK: Is that still today pretty much the way business is conducted now?
DR. REID: No, the business cycle we’re on a completely different business cycle now. No longer do you have to be in the contract or it doesn’t move blocks of patients like it did in the 1990’s. I think the insurance companies realized that is not a strategy that is going to work. Patients didn’t like it. Essentially the insurance companies have not evolved past managed payment.
MRS. CLARK: That is fifteen years ago.
DR. REID: They still are only interested in price and really do not have good systems to look at quality.
MRS. CLARK: Can we hope for better in the future?
DR. REID: Well, I am afraid the way our insurance companies are structured, they are strictly structured on cost and profit and they don’t have….I don’t see that they do anything based on quality. All those reviews we get are based on cost.
MRS. CLARK: That is unfortunate. Well you have given me a lot of information about you and the hospital. Have you seen any changes in your cliental over the years?
DR. REID: Well, only in our practice is set up to mirror the same population that goes to Methodist. We learned a lot about the geography that makes this a good location. It only makes sense to piggy back on the hospital’s geographical advantage, that if the hospital has a market area, that needed to be our market area for our practice so that has been a very successful strategy for the years I have been in practice here. Pretty much where the hospital goes we go and patients relate to Oak Ridge and relate well to the Medical Center here.
MRS. CLARK: All because, I mean that group, I guess, geriatrics.
DR. REID: Certainly we have a lot of older adults that is part of our practice.
MRS. CLARK: Did you have any unusual surgeries or cases over the years?
DR. REID: I could…..the list would go on and on. Of course that is what you do when you operate, you see a little bit of everything. You know the Emergency Room, in the Emergency Room you see all sorts of personal catastrophes and heart break. Accidents…….
MRS. CLARK: Are you doing many surgeries now here at the hospital?
DR. REID: We do emergency surgeries from injuries and we do elective surgery that has to have general anesthesia but the rest of our surgeries we do at the Eye Center.
MRS. CLARK: Now I was going to ask some of the most unusual and unforgettable aspects of your practice?
DR. REID: Well, you know I look at it more as things that were memorable in my time when I had leisure here at the Medical Center.
MRS. CLARK: All right.
DR. REID: And I had the privilege to work on the Credentials Committee pertaining [inaudible] and the way the Medical staff is structured the Credentials Committee composition is mainly past Chiefs of Staff. So after you serve as Chief of Staff then you have the opportunity to serve on the Credentials Committee and so I had my duty to serve there for ten years and for those of us who have worked in credentialing we think that is some of the most important work from the medical staff. But there was a time in early 1990’s when there were some….difficult credentialing issues that occurred, that got a lot of press and court activity. A lot of things were written in the press that were inappropriate because the press decided to take the other side and the press thought the credential committee was too tough on physicians who were going through the peer view process. Well, not long after all of that was settling down, Gene Caldwell, Dr. Gene Caldwell, pediatrician, who was a past Chief of Staff and prominent legislator, he wrote an editorial in the newspaper. He could do this because he was not currently on the Credentials Committee, but he understood very well how the Credentials Committee is to the hospital. What he wrote is I will paraphrase him…. was “yes our hospital has a reputation for tough credentials but if you are going to be a patient in this hospital is there any other way you would what your Credentials Committee to be”.
MRS. CLARK: Good.
DR. REID: Those of us have worked on that committee over the years and understand how that everything falls to that line when you are evaluating the quality medical staff Gene hit the nail on the head. I have always appreciated the fact that he would put it in words like that.
MRS. CLARK: You have mentioned Ralph Lillard and Marshall Whisnant and Gene Caldwell are there any other people connected with the hospital that made a real impression on you. Have you used the hospital yourself?
DR. REID: I have been a patient, we have had three babies here, I have had surgery here twice and I have had excellent personal care and excellent family care. One of my kids had surgery here, this is where they would bring me if I needed something. This is my hospital.
MRS. CLARK: You have certainly shared a lot of insight with this.
DR. REID: I tell you as far as other physicians the people that I really look to are other physicians who have taken the time to serve as Chief of Staff and I am sure that I will miss some of the names but …. David Stanley, Gene Caldwell, Elliott Kaebnick and Lee Smalley, they were, they preceded me. I had the good fortunate of being partners with Elliott Kaebnick and Lee Smalley and to have a group where there were three past Chiefs of Staff, a great experience but then Jim Rouse, radiologist. Macky McMahon.
MRS. CLARK: What is the term of office?
DR. REID: Two years and some serve longer.
MRS. CLARK: I was going to say “can” you serve more than the two years? Did you?
DR. REID: I served two years as Chief as Staff. Let’s see David Compton, I think Chuck Sewell and Chuck may have served three years. Bill Hall, cardiovascular surgeon, Duncan McKellar, Duncan did a great job and Joe Metcalf. We look at the list of physicians who have taken that citizenship responsibility it’s been a credit to the …
MRS. CLARK: The community is very fortunate.
DR. REID: And it is not just Chief of Staff, it comes with a huge responsibility for the medical staff, the hospital and the community. These are all people who I have been fortunate to have known and worked with, they are all excellent doc’s and they did a very good job for our community.
MRS. CLARK: The only eye surgery I have had had been cataract and I think even since I had cataract surgery there have been advancements in the field. I had my first one in 1995 but if I understand there is a little different way now…
DR. REID: Sure [inaudible] progressive [inaudible] of cataract surgery is dramatically different now than it was in 1995. Dramatically different than it was in 2000 a couple years ago, the advances continue.
MRS. CLARK: Do you ever get to do a repeat?
DR. REID: Generally not. It is intended to be a one time thing.
MRS. CLARK: Let me see if there is anything else here to ask you, we haven’t covered.
DR. REID: Well I will tell you there when I think of people had an impact on me. I talked about the medical staff, leadership staff, but on the other side George Mathews.
MRS. CLARK: I interviewed George. A lovely man.
DR. REID: George is. He is such a great man and his integrity and his ability to understand the issues and work with physicians, trusted and came back to be president of the hospital at a time that was very difficult for the hospital. It was after the merger with Covenant and you had hard feelings in the community and on the medial staff and George did a great job managing the place and being that step of leadership for us. I have the warmest feelings for George. Jan McNally. Jan I had the pleasure of working with her when she was in the nursing side of administration before she moved on to be the hospital president and Jan brought a terrific style…her own style of management and related well with physicians. Each of the hospital presidents has had things that have occurred on their watch that they had to see through. Jan did a great job with that. Now we have Mike Bilbeck. Mike comes from a different system but that…. I look at that as a hybrid vision you know. He has seen health care the way it has been administered in two different system at least before he came to us and so he brings a prospective that is healthy for us because he has seen how other hospitals have been successful in their markets. We are really fortunate to have Mike and Janice and their family here in the community.
MRS. CLARK: He was the initiator for this project. I do not think that it occurred to anybody else that we knew the history of the hospital until he came and I am glad he did because we have already lost some giants in the medical field here are gone. But at least we can get those that are still here and get them on record. I guess, unless you can think something that you could add to our knowledge of the hospital.
DR. REID: Have I told you things that other people haven’t talked about?
MRS. CLARK: Oh, yes and in a different, prospective I think from your standpoint. As I say I had interviewed George and knew about some of the aspects of the problems when he was here. But, no, I think you have added a lot and your insight, it has been very interesting. I don’t know if there is anything else to add or any problems you might had had with the Emergency Room or ….
DR. REID: The Emergency Room for every physician it is a love/hate relationship. It is where our most difficult patients are in a difficult time emotionally for them and difficult for us because we are thrown together, they don’t want to be there, they are not happy that they are either acutely ill or injured and it is a difficult environment which to practice medicine, everywhere coast to coast. Let me mention one other thing, there are lots of thing at Methodist that are excellent. Methodist has a history of doing things well and part of that is because we are the focus of our community but there are lots of things that occurred in medical staff leadership that we did well and I learned this at the hand of Marshall, Ralph and George and I’ll tell you for the last fifteen years I’ve had the pleasure of serving on national faculty and giving leadership seminars at medical staff all across the county and basically what I do is export the lessons that I learned from Marshall and Ralph and George and Jan and Mike to these meetings. The physicians all fifty states all across the county…
MRS. CLARK: How frequent are the meetings?
DR. REID: They are five times a year and they are attended by Chiefs of Staff on hospitals in all fifty states and they come and we talk about Medical Staff Leadership issues and basically I don’t tell them what I am doing but what I am doing is sharing the techniques and the methods that I learned from excellent people. I learned well and I enjoy sharing it.
MRS. CLARK: So across the county they know about Oak Ridge Methodist Medical Center?
DR. REID: They do but what they know best are the methods and the approach that I learned by the side of Marshall, Ralph, George, Jan and Mike really, people like that. Betty Cantwell.
MRS. CLARK: She had been interviewed.
DR. REID: Betty is terrific. She understood physicians’, our issues and she fully bridged the gap between physicians and nurses in care.
MRS. CLARK: I want to thank you so much for your time and …
DR. REID: I hope you learned something useful in all that.
MRS. CLARK: Well I am sure we will and what we are going to have to do…
[End of Interview]
METHODIST MEDICAL CENTER ORAL HISTORY:
ROBERT RICKS
Interviewed by Ray Smith
August 29, 2008
MR. SMITH: Ok Bob, just start telling us about REAC/TS, begin by telling what the term means and how it came to be called REAC/TS?
MR. RICKS: Well the acronym stands for Radiation Emergency Assistance Center Training Site. The program was named by a physician who actually started the REAC/TS program and I'll describe something about him in a few minutes. We always had to laugh because shortly after the name was made public, one of the lawyers with ORAU got a letter of complaint. It seems that there was another REAC/TS and it turned out to be, and this was always a big laughing matter for us, the reader action service of Playboy magazine and as a result, we put a slash in REAC/TS. We assured Playboy Magazine Editorial Staff that we would not interfere with anything that they did. Not a lot of people know that and I don’t think you would want to put that in the history book.
MR. SMITH: No, but this is an interesting little tidbit.
MR. RICKS: Well, you may recall that many years ago, there was a medical division within ORAU that was the first facility in the country to use total body radiation as a means of treating leukemia, lymphoma, thyroid cancer, etc and there were both partial-body and total body radiation and it was about a 30-bed facility. I originally was asked to work there to do some research in relation to the effects of ionizing radiation on normal systems so that one would know what was going on with this new type of therapy. The person who hired me was Dr. Clarence Lauschbaugh who was a pathologist on the staff. He has been deceased some years now. Over the years that facility developed a lot of expertise in what happens to normal systems in the body that are irradiated and how much dose an individual could receive and survive that, etc and hopefully have their cancer cured. The program was funded by the Atomic Energy Commission and in 1974, there was a survey done that demonstrated the survival rate using ionizing radiation. At that time, it was really not any different than conventional chemotherapy procedures and as a result the AEC decided to close the medical division. There were probably 30 of us who were going to be looking for a new home and Dr. Lauschbaugh had this idea, that rather than have all that expertise to go away, why not keep some of it here in Oak Ridge and set up a facility that would exclusively be used to treat victims of radiation accidents. He approached AEC with a proposal after discussing this with Methodist and the program was funded. At the same time, the hospital was moving with a new westerly wing that REAC/TS is located and there was an empty space in the basement. The AEC worked with Methodist and ORAU to make arrangements to have that finished off and have REAC/TS there.
MR. SMITH: About what year?
MR. RICKS: The proposal and everything was done in 1975 and we actually moved into the REAC/TS facility in June 1976. Now, you have to keep in mind that there were and still are very few serious radiation accidents. The last done in this community occurred in 1971 at the Carl? [Inaudible] Facility and before that, it was the Y-12 criticality accident, 1958 and so the question was if we are not going to have a lot of accident victims coming to this facility for evaluation and treatment, how are we going to continue to sell this to the government. And again, Dr. Lauschbaugh and his vision, said, "Well, why don’t we use it as a training demonstration facility and we will have free of charge, courses of instruction in medical management of radiation emergencies." So the facility was designed with that in mind. It was actually a separate emergency department to the hospital. We would train Methodist Medical Center staff and offer these training courses to anyone worldwide. That is really, I think, what sold the continuation of that program so that you had spreading the word, so to speak, among the medical community in this country and outside. At the time, there were only two other facilities worldwide that could receive and treat radiation accident victims. One was in Paris and the other was in Moscow and so REAC/TS was the third. It was immediately very successful and still is today. It originally had a 20-year contract with Methodist to operate that facility. When that expired, we operated three years under a different kind of contract and then in about 1998, 1999, Methodist entered into another 20-year contract with the Department of Energy. So, the facility has program-wise, responded to about 500 radiation accidents and in some cases, the individuals would come here for evaluation and we would work with their personal physicians to ensure that they got the kind of medical care that was somewhat unique, although there is no unique disease associated with ionizing radiation. We were able to deploy anywhere in the world if the Unites States was asked to provide assistance and so we've done both of those and continue to do that through today. We have had a number of well-known, outstanding physicians come in and join us as guest faculty, people that had taken care of many, many radiation accident cases, particularly, physicians from the former Soviet Union. There was a hospital there, still exits, called Hospital Six and it wasn’t known until after the Soviet Union dissolved that that was the facility where all of the radiation accident cases in the Soviet Union were taken for treatment. They had seen hundreds of cases. We often wondered why they did so well following Chernobyl and it was because they had lots of experience and practice. Over the years, we have had several thousands of individuals through the facility. We worked with all three plant facilities, now just two. With their medical departments, we would either see individuals from the plants in our facility or we might even go to one of the plant sites if requested to do. I was thinking about how I might symbolize what I think the relationship is, its a triangle with REAC/TS in it and you got Methodist, ORAU and DOE as parts of that and all three have worked very closely together to ensure that the program has stayed in existence and they continue to do so. DOE and ORAU are obviously working very close together on a number of projects and we have always enjoyed a very excellent working relationship with Methodist in this whole process.
MR. SMITH: Can you talk a little bit more about that relationship with Methodist Medical Center, how it began? You mentioned a little bit about the facility but how have you worked with the hospital over the years?
MR. RICKS: Obviously, Methodist was always concerned if there were some major accident that individuals who were contaminated with radioactive materials would have to be treated in the hospital, particularly, if the injuries were very serious. The original plan was that anyone who was to be admitted to the hospital would come through REAC/TS and we would do medical stabilization there with assistance from the Emergency Department personnel and if contamination was present, it would be controlled and deconned as much as possible before the patient was admitted to either the Emergency Department, surgery or what have you. We worked with staff persons in various parts of the hospital to make sure that working relationship was going to be the way it was to be done. Indeed, on a number of occasions, a patient would be admitted to the Emergency Department and we were and still are 24/7 response group and we would be called out by Methodist and many times would go to the Emergency Department and provide the radiological assistance, surveying individuals, taking samples to run those and identify what contaminants might be, although usually from one of the plant sites, you pretty well knew what was being worked with there but there were other privately owned facilities in the community that persons might come from and you may not really know what was going on there so that working relationship has always been very, very good. We've even, of course, had physicians from the Emergency Department on our teaching staff to answer questions because we had courses for emergency physicians and nurses. We had an advance course for physicians who would provide long-term care and then we also had a course for health physics personnel to teach them how to work with a medical community and to understand that medical has priority over radiological in all cases. The working relationship with Methodist was established very early, actually before the facility was completed, in order to ensure that that kind of smooth transition into taking care of a contaminated case with REAC/TS assisting Methodist would ensure the best care and protection for the hospital and staff.
MR. SMITH: Let’s talk a little bit about some the response that REAC/TS has been involved in over the years? Typical?
MR. RICKS: Well, as I mentioned we had a number of minor things, although the injuries were very major and in some few cases, fatal, where we would assist in the hospital itself. But REAC/TS has also deployed to a number of major radiation accidents, both in the Unites States and out of the United States. For example, in the late ‘70s, there was an individual who found a lost radiography source in California, picked it up and put it in his back pocket and suffered a very severe lesion to the buttock and we were deployed out to work with the medical staff taking care of him and provided some advice and consultation from the standpoint of medicine. I am personally a radiobiologist by training and provided some advice based on the radiobiology of the event, etc. We deployed after Chernobyl to assist in some of the training of medical individuals in the Ukraine, Belarus? [Inaudible] and in Russia.
MR. SMITH: Some of the downwind situations that they had to deal with?
MR. RICKS: Yes. Following Chernobyl in 1987, there was a major radiation accident in Brazil where the highest level of internal contamination ever recorded in the history of nuclear was experienced. Two individuals took a perfectly operating source used in therapy and tore the device apart and took the material out of the source container. It was Cesium 137? [Inaudible] and unknown to anyone at that time, the source began to glow and they were fascinated by it. They didn’t understand what the radiation “propeller” on it meant and it didn’t really have much marking on it and Brazilians like things that glow. They seem to be practicing Carnival all the time, so they began to rub this on their bodies and they ate with the materials on their hands and so they got internally contaminated and no one really understood why that source glowed but we found out that the source had been manufactured at ORNL and sold to a company in Spain who actually made the device and got it down into Brazil. When we came back after the first trip to Brazil, we went and talked to the personnel at ORNL about that and they had not experienced anything like that either. They said that they were going to be dis-encapsulating three sources, one very close to the strength of the one in the Brazil accident and they would invite us there and we could look in the hot cell and see. They dis-encapsulated the larger source, turned out all of the lights and you couldn’t see your hand in front of your face, just nothing, it was so dark. We started talking about some of the things in the Brazil accident and after about one hour, the technician, hot cell operator said, "I think we need to turn the lights out again." Turned it out and the source was glowing a bright green and what had happened, it’s much like Cherenkov radiation in a swimming pool reactor, the source is made under high temperature and a lot of pressure and when it is dis-encapsulated, it begins to absorb moisture and the more moisture that is absorbed, the more it glowed and these people were just fascinated by that. One of the more recent deployments occurred about 10 years ago now in Peru where an individual found a lost radiography source, put it in his pocket and we were asked to go there and assist the Peruvian medical community because that accident was almost a carbon copy of the one in California but much more serious. We had gone to a major accident in El Salvador and the individuals were transferred to a hospital in Mexico City and we made several trips there to assist the lead physician. We have gone to Jamaica, and Canada to provide assistance but a lot of radiation accident management is done through telephone, e-mail consultation because there is no medical emergency associated with it.
MR. SMITH: Let’s talk about the two that were here in our community. The first, although REAC/TS was not in existence in 1958, there was some involvement with Methodist Medical Center. Do you have any of that history?
MR. RICKS: I don’t have all the history right in my head, but the victims were seen from the Y-12 accident in the medical division and Dr. Lauschbaugh was involved in some of that. Then, in the 1971 CARL accident, that individual was also seen in the Medical Division. Dr. Lauschbaugh was involved in that case and that person survived and unfortunately developed what was thought to be a radiation related leukemia about 15 years later and he was hospitalized here at that time, 15years later. He stayed in the Medical Division during the initial recovery and diagnosis.
MR. SMITH: What else can you think of? Anything else that we need to be sure we documented on REAC/TS?
MR. RICKS: I think there is another aspect that I think is important because the EMS personnel in this community obviously work very closely with Methodist and over the years, we have worked very closely with those groups of individuals to provide some special training to them, to make sure they understand what the problems are and are not because there is a lot of uncertainty and misunderstanding about ionizing radiation. I think that has helped bring the medical, medical response community closer together with regard to "what is going to happen if there is something going on." Obviously, there is a lot of concern now with regard to terrorism and the possible use of nuclear or radioactive materials in that and the community is much better prepared, I think, to respond to something like that in a good way without panicking, although obviously there would be a lot of panic among citizens and perhaps everybody if something like that happened. REAC/TS also was the facility that maintained a stockpile of two very unique drugs that could be used in treating internal contamination. There is a drug called DTPA that is used to enhance the removal of plutonium and americium from the body and for many years, REAC/TS was the only place in the United States where that drug could be found. A network of collaborating physicians was established and DTPA, under REAC/TS direction and monitoring was put in all of the DOE facilities around the country that had plutonium and americium present. Then another drug called Prussian Blue which is used to remove Cesium from the body was also maintained at REAC/TS, both of those drugs are still maintained at REAC/TS, although they are no longer investigational drugs. The aftermath of 911 resulted in the government wanting to stockpile the kinds of medication that might be used following some type of nuclear terrorism and so we were instrumental in working with the US FDA in seeing that those drugs were put into the national pharmaceutical stockpile.
MR. SMITH: We mentioned some of the exercises, local exercises, large training, large response exercises where we have cities involved, facilities involved, what is REAC/TS role in those?
MR. RICKS: REAC/TS role is always to assist the local response community in what they would do in the event if such an occurrence takes place. REAC/TS would never go in charge of anything because the local community has to be the one to make those decisions but REAC/TS has participated on numerous occasions in very large scale exercises. Probably one of the biggest occurred in Seattle some years ago and it involved a terrorist bomb that "spread radioactive material around" and we were there in a support role, had personnel from REAC/TS on the scene to work with the local responders and also at the major receiving hospital where the "victims" were going to be taken for evaluation and treatment. There is usually some big exercise like that every 2 or 3 years.
MR. SMITH: Good. Can you think of anything else that we left out?
MR. RICKS: I think that pretty well covers it.
[End of Interview]
METHODIST MEDICAL CENTER ORAL HISTORY:
CANDE SEAY
Interviewed by Kelly Owens
August 19, 2008
MRS. OWENS: Here is the consent form, saying that you are letting us have and use your story, please sign and date.
MRS. SEAY: The date is?
MRS. OWENS: August 19th, 2008. If you will go ahead and tell us your full name including your maiden name.
MRS. SEAY: Yes, well my full name is Mary Candida Michel, just like Dr. Jim Michel. My married name is Seay. Mary Candida Seay, but I go by Cande Seay.
MRS. OWENS: You were born?
MRS. SEAY: I was born May 11, 1947, in West Point, New York.
MRS. OWENS: How did you end up in Oak Ridge?
MRS. SEAY: I went to the University of Minnesota to the School of Nursing. My family is all from Minnesota, my dad was in the Air Force so he was living in Wichita, Kansas, and stationed at McConnell Air Force Base and I went to a state school which happened to be Minnesota; that’s why I went to the university there. After I graduated in 1965, I went home to live at Wichita at the base with my folks and I got a job at St. Francis Hospital in Wichita, Kansas. I was a pediatric nurse and at that time “rotating” through pediatrics was Dr. Richard Dew. He told his friend Dr. David Seay, that there was somebody he wanted him to meet on the Pediatric floor, so that is how it happened. I met David my husband on the Pediatric floor.
MRS. OWENS: And Dr. Dew was a pediatrician?
MRS. SEAY: Well he was the Chief Resident, so they were both in “Family Medicine.” Dr. Dew was a year ahead of David, so that he was the Chief Resident and David was the year behind him. Richard came to Oak Ridge the year before we did and called David and said, “Please, before you decide where to practice come look at Oak Ridge Hospital.” That is how we got here.
MRS. OWENS: What year was that?
MRS. SEAY: 1972.
MRS. OWENS: Did you and Dr. Seay both came together.
MRS. SEAY: Yes, together.
MRS. OWENS: What was your first job?
MRS. SEAY: My first job at Methodist didn’t happen until 1990, because I stayed at home and I only worked about a year after I got married as a nurse, and then in 1990 my kids were on their way to college and I was looking to go back to work. My friends, Jan and Randy McNally knew of a position at the hospital that I should apply for which was in the Woman’s Center. I applied for that position and that was my first job at this hospital.
MRS. OWENS: What position was Jan in when you first came here?
MRS. SEAY: Jan was probably….she had just come out of ICU and I think she was maybe one of the nursing directors, at that time.
MRS. OWENS: Who was at the Women’s Center you were working with at that time?
MRS. SEAY: I worked with Wanda Vines and Wanda had worked with Wilma Brantley and Dianne Morton in the Education Department and then when they separated the Education Department, they pulled Wilma over into the Women’s Center. Actually, that’s not true, they pulled Wilma out of the Women’s Center into the Education Department, that’s how it worked because there was such a big library at the time.
MRS. OWENS: How did you transition from the Women’s Center to the Hospitality House?
MRS. SEAY: That was just another one of those beautiful things in life.
MRS. OWENS: Did you have anything in-between?
MRS. SEAY: No, the time was just right. We had been doing a lot of programs about cancer, I myself had been diagnosed with breast cancer in 1996. The Cancer Center was going pretty well at that time. I think one of our first Holiday Lights for Health, if not the first one, provided the financial support for our Oncology Center. How the Hospitality House came about was that a friend, Tom Adkins from the First Christian Church was looking for someone to lease their parsonage. He came to Joe Diehl at the hospital (the hospital property manager) and asked him if the hospital would be interested. Joe called me at the Women’s Center to let me know there was a building available for our use, and I had collected and had saved information about a Fellowship Center in Knoxville, which is a Hospitality House. I quickly called Wilma because she and I had talked about that before, also she was very familiar with the Cancer Center program and so in our minds we were thinking golly, we could have a place for our cancer patients who were traveling into it from out of town and needed a place to stay, just like the Fellowship Center in Knoxville. So Wilma and I were very excited and then Joe came back to us and said, “now you know we’ve got some property, we have two old E buildings right down here on West Tennessee Avenue, and you know if we leased the place that is just a five year lease, so let’s look at what we’ve got”. We brought Sara Whitely, who was the director of the Fellowship Center in Knoxville, to look at the property. We looked at the property, which was two four bedroom apartments, called E Apartment buildings built years earlier, I believe they had been leased or rented by Ridgeview earlier and used as group homes, and as dormitory and/or assisted living kinds of places. Sara said they would work out great. We were very excited and we were so grateful to the Christian Church for getting it all started so we brought Tom Adkins onto our Board to be a kind of sounding board as we were creating the whole process. After we said, “Yes, we have a place” then the hospital said, “Yes, you have these places.” We were very excited and then we had to figure out a way to sponsor and promote it, but in the meantime as all things transpired, they were going to need a director or a manager and I kind of was really hoping that it might be me. It just seemed to fit me, fit my life, fit my energy and desires, and so that is kinda how I got to be there.
MRS. OWENS: Can you pinpoint one person who might have really jump-started the idea of having a Hospitality House here at Methodist?
MRS. SEAY: I know the volunteers had also known about hospitality houses. I really think that years and years ago, having talked to some of the older volunteers, and I can’t remember exactly, it might have been Mary Beard or Margaret Garrett, but there was one of those E buildings in that very same neighborhood, but I think it was on Nesper Road, that had been used for a home away from home, a Hospitality House / motel or whatever during the first years of the hospital. I think the house was run by volunteer office or the Gray Ladies or the Pink Ladies, it could have been during the war, and that’s just a very fuzzy memory. I think the volunteer services kind of had an idea of recreating that and as I had a folder with some Hospitality House information up in the Women’s Center, I think the volunteers had a folder down in their file box, too. So just to get it jump-started, I think the ideas were in our head that the Cancer Center was growing and we needed to house the families, and I just really think that because of Tom and the First Christian Church saying, “what could you do with the Parsonage?”, I really think that got the motor going. Of course, the timing was perfect.
MRS. OWENS: So, when you started out to create a Hospitality House you had both of the houses, but you only developed the first one?
MRS. SEAY: Right, we had to choose which one to develop. Wilma and I made a presentation to the board (with Sara Whitley‘s help of course). She said, this is how much it would cost to renovate, because she had kept all her records. This is how much it would cost to run a house. This is all the kinds of support you could get from the community. We made a little business plan and we presented it to the Foundation Board and we asked them to support us - that is we needed $25,000 (that is the number in my head but I’m not sure if that is the correct number) and if they could do that it could be brought up to date, renovated. We would then need the Foundation to support it financially. We made our little “spiel”, and we went out in the hallway and we waited for them to vote and honestly they were so excited it wasn’t but six or ten minutes and out they came, you know, and said, “We totally support you and we think it is a great project. Go for it.”
MRS. OWENS: Do you remember who was on the Foundation Board at that point?
MRS. SEAY: Of course. George Matthews was the president at the time, and I’m sure Ken Sommerfield and Mr. Ken Jarmalow were on it at that time.
MRS. OWENS: What year did this really begin?
MRS. SEAY: It was 1996.
MRS. OWENS: And from 1996 until it was finished, how long did it take for the renovation of the house?
MRS. SEAY: Well we started renovating the fall of 1996 and we saw our first patient in January of 1997. The fellows from the hospital just really cranked it up. They painted, made a bathroom handicapped accessible, moved a wall in the kitchen, widened the doorway of the handicapped accessible room, and we carpeted, we painted and redid the kitchen, that is pretty much what we did.
MRS. OWENS: Was the hospital staff working on this or did you hire contractors?
MRS. SEAY: It was mostly our own fellows, the engineering department. They had one little contractor that they subcontracted to for the kitchen and I forget the name of that fellow. But he came over and gave us some new cabinets, but everything else our fellows did.
MRS. OWENS: The engineering guys.
MRS. SEAY: Yes, the carpet, the electric, plumbing that needed to be done. They did it all.
MRS. OWENS: And furnishing the house, where did those funds come from? Was it donations or did you raise money for that?
MRS. SEAY: The very first….the most beautiful thing was we furnished it with people making donations and with using a little bit of funds to buy some things. But mostly it was donations, like ….I remember now…. There was friend from a church and I’ll think of name in a minute…a member of St. Mary’s Church. She called about 20 or 25 people and said, “If you would like to make a donation, you can buy a fork or a spoon, microwave” and she raised all the money to do our kitchen.
MRS. OWENS: Really.
MRS. SEAY: That’s right. I’ll think of her name in a minute. It was Susan Tull. She was really good friends with Steven and Linda Dekanich, who were our first big supporters and the First Holiday Lights chair people. They were very big supporters of the Hospitality House.
MRS. OWENS: What about Bill Manly? Isn’t the first house now named after him? After the opening of the second house, what role did he play?
MRS. SEAY: That came about five years later, if I recall, when David McCoy was Foundation President. Bill Manly was very generous to our hospital and David and he were very good friends. We were at the point where we were having do some renovations on the house and really needed some financial assistance and we had proposed that for $10,000 donation you could have a room named after you, so the Masons had raised that much money for us and one of the suites in the Manly house is named after them. The Volunteer Services had raised more than that so the first suite in the Manly house is named after them. The Medical Alliance Roane/Anderson donated $10,000 and named a suite in honor of me, which was very sweet. When it came to more donations coming in we named the first house the Manly House because Mr. Manly donated so much money in memory of his wife, Jane. I believe our parlor at the Manly House is in their honor. Because of all the support they have given to the house and to the hospital, we created the second house which became known as the Calm House. Jenny Edgar and David McCoy and the hospital said, “Let’s name the first Hospitality House the Manly House.” So that we could discern which house we’re always going say Manly house, that worked out great because I think he is well deserving of having his name in the front yard.
MRS. OWENS: Do you remember the first guest at the original Hospitality House?
MRS. SEAY: I remember what he looked like and if I went back to the books I could pull his name, I’m sure his name is on record in that book.
MRS. OWENS: But he was a distinctive character?
MRS. SEAY: Yes, because he needed to use the handicapped suite because he was either in a wheelchair or he had a leg he had to drag but I kinda think he was in a wheelchair. He had a very large son and I don’t remember if he was in the wheelchair or the daddy was in the wheelchair, but it was so cute. They were from Scott County or up on the mountain there somewhere. We were so excited that we had a guest…actually we were excited we only had one guest, because we didn’t have beds in the other rooms. He was just delightful, grateful and appreciative and probably our very first guest donation came from him. I believe it was a five-dollar bill, when they checked out. He was charming and could not have been more perfect, because they were a family that we really wanted to help. It was our goal and it was just great. [INSERT FROM LATER IN THE INTERVIEW: I’m looking at the record now and see that our first guest was not the gentleman I told you about, our first were some sisters from Greenville, Ohio, but I guess my most memorable guest was that little fellow I told you about.]
MRS. OWENS: Do you remember how long they stayed?
MRS. SEAY: They stayed twice actually, but the first time they probably stayed maybe a week.
MRS. OWENS: What other types of patients have you had? What’s your typical Hospitality House patient?
MRS. SEAY: Well it runs the gamut, from the lady I checked in one time who came from a home probably up in Scott or Morgan county who lived in a house that had dirt floors, and then we have had families that didn’t have running water. We had, I think it is ok to say, Annabelle Clement O’Brien who stayed in our house one night. So, we had a state senator stay in our house, so we have had anybody….everybody…..and we have had families all over the country but one of my very first house guests and probably my favorite only because they were so endearing, were from Bath, England. They were delightful.
MRS. OWENS: How did they end up here?
MRS. SEAY: They were touring, they were in Oak Ridge touring because they had read a guide book and they were doing the Manhattan Project, and they were very into the historical aspects of Oak Ridge. And when they were here she fell and broke her hip, so to convalesce, she couldn’t stay in the hospital and they didn’t live here so they couldn’t go to the nursing home, so from the hospital she came and rehabbed in our handicapped suite. They were here for almost a month. They were so wonderful, so interesting and so appreciative.
MRS. OWENS: Did she get a kick out of staying in one of the original Manhattan Project houses?
MRS. SEAY: Exactly. The whole thing, as it turned out years later when my husband and I went to England we went to visit them in Bath and they hosted us at their home which is right on the crescent in Bath, England. I mean it was so exquisite.
MRS. OWENS: How have the houses been supported over the years? After they got initially started, what would have been their main support?
MRS. SEAY: They are totally funded by donations. Probably the biggest donations have come from our Volunteer Department. They traditionally have given us thousands and thousands of dollars every year; they have given us the most support. We get a lot of funding from churches and community organizations, like the Masons, the Lions Clubs and the Daughters of the Eastern Star. Even one church, I think it was Trinity, they had the Christmas tree sales every year they would select charities to which they would give their funds and every year they would give to the Hospitality House. Some the donations come from individuals and then from our guests. We do not charge the guests anything to stay there, but we tell them we gladly accept donations and everything they see or use in these homes have been donated for them and for their comfort. We have a couple of big fund raisers every year, traditionally Holiday Lights for Health has been our major fund raiser and that happens during the Christmas season, then we have a Golf Tournament that in the last eight years has raised money for the Hospitality House (among other Foundation projects) and then in the spring we’ve had a Casino Night fund raiser (also raises money for other Foundation projects). I would say those are the major fund raisers.
MRS. OWENS: I know Holiday Lights for Health, which raises money solely for the Hospitality Houses, originally began for the Cancer Center. When did that transition take place?
MRS. SEAY: I have a feeling if we could look back at the records and see when the Cancer Center was up and going… I’m not for sure it wasn’t the second year, that perhaps we transitioned from the Cancer Center to the Hospitality House. It was always called Holiday Lights for Health, and I believe Crystal was in on the first creation of that event…Crystal Jordan. (First Holiday Lights held in 1989, per press release)
MRS. OWENS: Was that the first fundraiser that you all did for the house?
MRS. SEAY: Oh, definitely, in fact it was the only one we did for the house for a while, although we did organize a mail campaign fund raiser that was like a non-event instead of having a real event we had an Easter egg un-hunt (like an Easter egg hunt) where we created a little mailing list and mailed it all out…. “We’re having an Easter egg hunt but you don’t have to come but you can buy these colored eggs or these colored eggs or these different levels of funding.” That was a nice little fund raiser but nothing big. We needed tens of thousands of dollars, we needed something big and that has been our Holiday Lights, such a wonderful program.
MRS. OWENS: What about the Ritzy Thimble Quilting Guild? I know each patient gets a lap quilt when they arrive. Do you want to tell that story?
MRS. SEAY: Well, that came right as I leaving the Hospitality House, so Jenny Edgar will remember this a little bit more. But my neighbor, Betty Plummer is an excellent quilter and she belongs to the Ritzy Thimble Quilters Group. She knew I was going to the Hospitality House everyday, and she would get the literature because I would always tell her about our fundraisers and things like that. And their group had been making lap quilts for the Ronald McDonald House for many, many years and Betty said, “Well you know gals, we have a Ronald McDonald-type House right here in town and what do you think about supporting them?” Everybody loved that idea and they started making quilts. They are just glorious and every patient gets a handmade quilt and they can select it because they are all so creative individuals that you might like one with cats or you might like one with trees, or something else. They are very, very special.
MRS. OWENS: Do you remember what year they started?
MRS. SEAY: Let me think, when did we open the Calm House? October, 2006, that would probably be when it started.
MRS. OWENS: How have things changed over the years? Because you are still very involved with the hospital and the houses and have you seen any big changes since you left as manager?
MRS. SEAY: Well, I do take calls for the houses and just happen to be on call last week, so it’s good you are asking me this because it is fresh in my mind. One thing that is so wonderful, Kelly, is our Calm House, our second house Hospitality House that Jenny has created…it is so beautiful and the house looks like the original Manly House, but when you go inside it is totally brand new. I mean from the studs to the paint. They gutted it….new floors and walls, electric, ceiling, plumbing windows, everything is brand new. I remember going to a National Association of Hospital Hospitality House Conference and I remember every conference we went to we always got to visit the Hospitality House within that city, the host was responsible for it. There would be old houses, new houses, and I remember walking in a brand new Hospitality House and I remember thinking “Oh wow! Wouldn’t it be nice if we had a brand new house, “Never dreamed that a brand new house would ever be possible”, so that is such a pleasure for me to be able see that happen.
MRS. OWENS: Do you want to talk about any of the other ways you have kept involved in the hospital over the years? When did you retire?
MRS. SEAY: I guess this so hard to remember but I’ll have to go back to my grandchildren, Veda is six and I think it was four years ago, so maybe I started thinking about retiring at 2004. I help with some of the fund raisers and the Holiday Lights for Health, that’s how I have stayed involved with the Hospitality House.
MRS. OWENS: You retired to spend more time with your grandchildren?
MRS. SEAY: Yes, exactly. I could not do two jobs and I wanted to spend and be the Nanny for my grandchildren, so when my daughter-in-law works, then I am the Nanny for the children and that is two days a week and then, if they let me, I help a little bit more. Now my oldest son is moving to town next week with two more grandchildren, so I will be Nanny for five grandchildren. So that is a full time job. That is what I am called to do right now and it is great.
MRS. OWENS: Now your husband is still in practice here in Oak Ridge?
MRS. SEAY: Yes, indeed he is. The Family Clinic on the corner of Vermont Avenue, right across the parking lot from the Cancer Center.
MRS. OWENS: Has he been with them the whole time he has been here?
MRS. SEAY: The whole time. We came in 1972 and Dr. Richard Dew and Dr. Guy Fortney were in practice together and David joined their practice. It was in the original Medical Arts building. I don’t know if you remember that, Kelly, because it was torn down before your time. They were on the fourth floor and then when Dr. Heald and Dr. Jenkins joined the practice they moved down to the first floor of the Medical Arts Building, where the library had been and then the practice had grown, now there are eight physician’s maybe even nine now; they are in the Family Clinic building.
MRS. OWENS: Wonderful, do you have anything else you want to add from your records or timeline you have from the hospitality house that you want to mention? Any notes that you remember, that triggers?
MRS. SEAY: One thing I would like to say, whenever I get a chance is that we are so fortunate here with our Hospitality House for a couple of reasons….
Our house is totally supported and encouraged by our hospital, by the administration, by the staff, by all the departments and that is a beautiful thing. I mean the operators help us with the phone calls that come and they help us get connected back and forth to keep things running smoothly. The security guards are totally involved --- sometimes when a patient or family locks themselves out of their room or they can’t get their car started. The cafeteria staff --- I remember we used to be able to run over and get milk, bread, eggs, sandwiches for people who had nothing. Having the Foundation Board and all their support it is just remarkable. Otherwise you would have to be a free standing unit and really try to get all that financial support and it would be much more difficult. That is the first thing I am so proud that our hospital has a great Hospitality House. The second thing… I think our community has embraced the Hospitality Houses, just like the Mason’s, the Ritzy Thimble’s, the Trinity Methodist Men’s Group, the Women’s Churches, the Daughters of the King, who take care of the gardens at the Hospitality House, and then individuals who serve on the Foundation Board who love the Hospitality House and are going make sure that it is not forgotten. These are all reasons why it is great to live in Oak Ridge and be here.
MRS. OWENS: What about the people you have worked with in the house? Who would be “staff” at the Hospitality house in addition to the managers during your time there?
MRS. SEAY: I cannot believe I have not said anything before this, but the volunteers that work at the Hospitality House are the people that our guests see most because the manager is not always there. But the volunteers are always there during the day and they are the ones that fix the coffee and make the beds, or make sure that the guests have somebody to talk to, or maybe we have some volunteers who make the best bean soup or the best potato soup or the best cookies, those are beautiful gestures that the guests appreciate so much and just every volunteer that works there finds that ministry of the Hospitality House very specifically is their choice because they know what the guests are going through and they can help just a little bit of that time when those people needs someone, comforting or a word and a shoulder. Our volunteers make the house look pretty inside and outside and they are the ones who make the families feel special. When you read the guest letters and the little notes that they write in the books and the cards they send, they always, always say “Thank you, Jenny. Thank you, Cande. Thank you, Volunteers…you just do not know what this house had meant to me.” They’re the rock at the foundation, there.
MRS. OWENS: Anything else you want to add or recognize anyone? Special experience you have had? Any memorable experiences you have had at the house?
MRS. SEAY: Yes, I have had many memorable experiences…the cutest one or the one I like the best is…there was a breast cancer patient which was with us for many weeks and she was younger than I was but she was very nice and charming, we had a very good time getting to know each other, this was in the original Manly House and when you open the front door you can look directly at the stairway and at the top of the stairway are our two little bathrooms. One morning I open the door and walk in there is my guest sitting on the toilet and I say “well good morning” and she never missed a beat and I never missed a beat…but I think that is hilarious and when we drew up the plans for the second Hospitality House the one thing that I made sure of that would be it that when you open the front door you did not look directly upstairs into the bathroom. That is my funny story.
MRS. OWENS: Did you have your hands in the planning of the Calm House?
MRS. SEAY: I did and that was a real special treat for me because that would be in the Calm House notebook but he was the fellow that drew the plans for the house and we talked a lot. We duplicated what we had but I said these are the things that we could really improve on and one of those things was the offset doors to the upstairs bathrooms, to have a dedicated potty powder room for our volunteers. Because they didn’t have their own bathroom, they had to use the guest bathroom and with all the guest rooms we filled it was awkward and then the other thing was to have a dedicated laundry room which was not situated in the guest rooms. I think those were the three main things I am very proud of.
MRS. OWENS: Where you still with the houses when the Calm House was being developed?
MRS. SEAY: Yes, I was. Oh my lord that took a little while. It probably took from the moment we started having these wonderful meetings at the hospital with the Calm people it was three or four years before we finally got to the dedication and I couldn’t wait that long. I needed to retire and take care of my grandchildren but slow and steady it happened and we tried to feed the workers that were there and we just tried to make them feel like we were proud and happy to have them there, so that was something we started with and Jenny continued with it. God bless Jenny, she had the brunt of it, she had to really finish it and the finishing took a long time.
MRS. OWENS: How did the Calm House actually the concept for it begin?
MRS. SEAY: I have to compliment our friend Lou Rabinowitz. He was on the Foundation Board and he was a member of Rotary and as a member of Rotary and a person who just loved the Hospitality House and everything it stood for, he had contacts with management and labor folks at the plants. He said, “you know, you all could completely redo the second house, they needed a second house, they are full so much that they could use the extra space. This would be a boon for you, boon for our community and a boon for our hospital,” and he talked them into it. The fellow who was the lead was Dick Davis, who right after it got started, no it wasn’t Dick Davis, it was the fellow before. But after we signed the papers, the fellow who said, “Yes this is wonderful,” and he was in charge and making things go, he was transferred.” I can’t remember if it was Dick Davis or the fellow before him and that stopped things for a long time. Different little things like that kinda threw little monkey wrenches into the plan.
MRS. OWENS: When did it begin? Talking about the Calm House concept?
MRS. SEAY: I would have to go back and look in the notebook but I am thinking probably in 2002 or 2003, I will guess 2003. It was two years before I retired. If I retired in 2005 and it was another couple of years after that, I remember thinking it was at least three years start to finish but I remember it might have been almost four when we first started talking about it.
MRS. OWENS: Is there anything else that failed with that project or are you trying to block it from your memory?
MRS. SEAY: I think I was just amazed and so excited that they choose to just start from scratch. I think the workers probably were not. The person that was the builder manager, oh his name is Holmberg, his name is in the book too. But it was at that time that an Eagle Scout wanted to do a project and he wanted to do a gazebo and the building trade director took that Eagle Scout under his wings and because of the building trades men and all of their interns, this Eagle Scout did this project and it is adorable. I think it is very attractive and so that was maybe another community win/win situation where two groups really worked together to help one another.
MRS. OWENS: Anything else you want to talk about?
MRS. SEAY: I can’t think of anything else but I’m sure I forgot some very important people. I’m looking and my first guest was not the gentleman I told you about, they were some sisters from Greenville, Ohio but I guess my most memorable guest was that little fellow I told you about. Even at the beginning, looking at the leadership Oak Ridge, this was in 1997 Leadership Oak Ridge sponsored a party called an Evening in the Old West it was down at the Mall it was in one of the rooms and they raised $5,000 for us and that was a huge amount of money at the time. That was great.
MRS. OWENS: Another example of community involvement.
MRS. SEAY: Exactly. I thought to mention the Cancer Center and I don’t know why, most of our patients but we always gave priority to the cancer outpatients, so a lot of our interaction would be with our people at the Cancer Center. A lot of our time was spent either taking a patient over there or picking a patient up from the waiting room and we had patients who didn’t have family members with them and they were all alone and sometimes we would be very worried about a patient who was quite ill and it was so nice to just be able to call the nurses over there and say “we don’t know what we’re doing over here but we want you to know how sick Mr. so and so is, and we just want you to calm us down and tell us what to do”. That was always a sense of support and cooperation. We had some wonderful nursing, technical people over at the Cancer Center throughout these years, too.
MRS. OWENS: What about the physician involvement with the houses and centers?
MRS. SEAY: Dr. Larry Lee, one of the first physicians at the Cancer Center but has since retired, was a huge sponsor of the Hospitality House. During Holiday Lights, he always bought lights for all of his staff, he kind of got that started. I think maybe the doctors upstairs did the same thing. Dr. Lands and Dr. Foust, who were there when Dr. Lee was there. Then there were some special physicians; Dr. David Stanley, was a very, very big supporter of the Houses. He had a lot of his patient families stay with us and the surgeons and our open heart surgery. All of the surgeons and some of the medical staff too, but primarily our surgery and specialists had families in our house. When a guest checks-out we like to send a little follow up letter to the doctor, saying your patient’s family stayed with us, and I think that helps to let them know more about the house.
MRS. OWENS: Thank you so much for sharing with us, if you can think of anything else we would still love to hear stories…..
MRS. SEAY: Well, stories are fun but just getting it started was just a fluke that happened at the right time, all the pieces were in place and having the Knoxville House to mentor us that was huge…
[End of Interview]